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CEMEX PAPPERS
SCANNED CC -•ME X St. Luce County ['D V APR 2 7 RTD 3 4,941 VMS. a 4'ySlarriarCo�p} H r,.". Ggstome[jaerme r-. : .( z .'.,trustom?r Job Number: ONet,Cj''ods/Date ' kr6j�di.. r�,e $"�I:mCYFYk 5, ` r�;,yy tA,,?'s., 7``'tyUYix"5'" ..n bka3�' k�'i;f r n^+�'� "''"• 6 Fp tl 3.'.i ~si` ,+ ".�' '#"'r K�'s 3 y, 1 {y, t s ✓�i+ l lye "y'''`s i fi S+k 01,11 Y .� ' �� tf +.[ i£i �'E Y' kS ,k`" � x k 3yT lC:.} F* S �e< V 4 T k .» tSyYS k5x x tz'I>< '✓f kr` to F:�ur yt `t y.4 at um f . .r i t4fjF N � k p, i Sy� heg�.� YF jwf� rf+K 4 d, x ;Y��s*�+,tik,�C� us'§J}''�����,�s'r�"'•'t�'dr`tr�s�"t"`�.: ,h rSr..21,"� "'l�jU1''��'�`� tk' PT£nz"ds}!�k '. r�s ez s�i 3sv sr d 3 i r iLf r x +.a= h '01 1 ,ytV�kd� AY pn a�i Sai �iuA^ s'+, d Y a ?•. r 4`}}�'�.? ti 5"F t '�t,T� '�' 'r:'-,v rr :` p.;+ „rd �"[ s, ,gmJ" F3 � u4�Fan1 +"t�v .rv,..:1...�.tff,.n�t{�.x.t�r.ar. .`£..1--�„�,r.: nw.. §;5.�•r r�, .,., _..!r..azat'i .,.:, .�.3Y,zW..,,, ... 5�h+':�.a. �:+�i', t$S..a4.. r....., .f Due on Job: Sharp:: Truck Number: Driver. Number: Driver Name: End Use: ='^`i:f1 9"'it{l Gl r. "r!•Jx,:...' S ;. .r 1AI nik t'-.'.ri •y: Y4, LOAD CUMULATIVE ORDERED ,MATERIALCODE PRODUCTION DESCRIPTION - UOM VNITISRICEF. .AMOUNT , QUANTITY '- iUANTITY,"' QUANTITY - „-ig { sa' r�s @"4'✓#�z. �i�Yv x'� �� Re-r��rv".�y'J X�j�4 ri�' i, I�"t±0�,��y s J vv .*rrosayt fak°`••.`r L d r �+ yr s'f +S.sr)c2 $ n1 .s'" r9 sUpy' .3 *+Yrt t ,� i�'�y,t,� � .» Er✓ �'3, c�,� f' � kT 2 $' E T r�ma. xR � T• 1 l£+')f�S*'S x'kt 3�� �" rgcr`s Yn r't�eYx� f�^w .E �' gf,• "a"*x' g�h «'.��.j„�,�-µ i n4fa pEy y ,rF, f e fi.'x ��rT k s Y 7 ;g'A,"ti�• r'�">Sk�' i of 1 i s u. w' lrv'a x a '{ t 1.•@fmkY'. r d•Gs'i yt �toa.:p. L lT4t5Y�i,' F%y',,�i°'i6t±a .r, •. 3��zAf�ws�'++'�.f.:r�'"�.t. �i=hi�,lr�l��"ItC �+ilf. i `°ts ,°�s�lr,`ft"�s +°J �', �`',� Check f %s ry., ar r`t s t f r"k" l '.i kf 3 F i ,� Wlt,pY' 1aadby Charges .£barge - -WATER ADDED GAL , YARDS IN„DRUM: .. .. WHENADDED..• . .. - SIGNATURE 'CURB LINE CROSSED'AT OWNEAVAGENT'S REQUEST: , U.NIC RE TE. ..D T. i(- OSl7L FEE - ..SIGNATURE } .;, I P�F2TIiai v� hLlLf,. LOAD *lfli�Yta OLOADWASTESTED, BY: Notice: Our drivers will make every effort to place materials where the mrstorner designates, but thy ;SPECIALTERMS:z Anyweha added Is at customers dwnjdeJ$,}J/hya%rIsadded ,onjob, concrete strength Company assumes no responsibility for damages Inside curb,or property line. Customer agrees to the is no longer guaranteed WARNING. Productmay causaorkd^dfdrj$ye Irritmion. CAUTION:, Material terms of sale and delivery and accepts concrete as is. Due to important factors which ere out of our may be hatamoua to your safety. and health. Please refeF td 11te 6�§Cksitle oPNis. ticket for Important after delivery, this ComPanywill'nbl accept any responsibility for the gnashed results. .No predit for 'safely handling intbdnalip end to lfie metenel eatery data ahe9184ok.Q,dBAlbnal Infartnedon, returned concrete. Ruyeis exceptions and claims shell be deemed waived unless made torus in writing AUTHORIZED SIGNATU t within one business day after the receipt of materials.' . 66UNroERSAL.: CUSTOMER ` zzc�mC-x 534494/3 Plant: Begin Loading: To Job: Arrive Job: Start Unload: Finish Unload: Leave Job: Retum Plant: Customer Code: Customer Name: t Praecl'Codii� Project Name: Ticket Date: Delivery Address:. Deliverylhv stnic[ions; 'Customer Job Number: Project P.O. Number. Order Code / Date:. OrdarP.Q.Number. :Map Pat e:`I" MapIROW/Column: Dispatcher:. Ticket Number. Due On Job: Slump: , Truck Number: Driver:Number: Driver Name: End Use: , (H ." 7•J t-..f ieIC 1• i'71:1(� 'p:'i it I. -STY. 1-' LOAD CUMULATIVE ORDERED MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT' QUANTITY QUANTITY QUANTITY Cash Check #/Auth Code: Signature of Driver Receiving Cash:., Cash Received: Total COD Order Amount to Collect Without Standby Charges: Check Charge WATERADDED: GAL YARDS IN DRUM: WHEN ADDED. SIGNATURE CURB LINE CROSSED ATOWNER'S/AGENTS REQUEST: SIGNATURE L'%1F2T 1. hi F111_i 1_Q,"1l`fC�i ZJ�i 1. ❑'LOAD. WAS TESTED BY: Notice: Our drivers will make every effort to place materials where the customer designates, but the SPECIAL TERMS: Any water added is at customers own risk. If water is added onjob, concrete strength Company assumes no responsibility for damages inside curb. or property line. Customer agrees to the is no longer guaranteed. WARNING: Product may cause skin and/or eye imitation. , CAUTION: Material terms of sale and delivery and accepts concrete as is. Due to important factorswhich are out of our .may be hazardous to your safety and health. Please refer loathe: backside of this ticket for important control after delivery, this Company will not accept any responsibility for the finished results. No creditforr safety handling information, and to the material safety data sheets. for additional information. returned concrete. Buyers exceptions and claims shall be deemed waived unless made lairs in writing .AUTHORIZED SIGNATURE; M1 within one business day after the receipt of materials. 66UNIVERSAL CUSTOMER This Delivery Ticket incorporates, herein by reference Buyer's previously executed C-Ait Application, if any; Seller's Standard Terms and Conditions, Seller's Quotatim try, and Seller's Order Confirmation (in ing limitations of warranties), as if.fully set forth on this Delivery Ticket ("Agreer "). Seller will provide the Standard Terms a..d Conditions upon request. Buyer agrees that, unless otherwise noted on the front hereof all quantities and items were delivered as indicated and further expressly agrees' to pay in accordance with the Agreement. ' AGGREGATE / CEMENT / CONCRETE PRODUCTS / FLY ASH Aggregate products are naturally occurring materials including limestone, dolomite, granite, volcanic rock, sand, gravel, and other siliceous materials. Cement products include Portland cement, masonry, pozzolan °(Type IP), roof tile, and stucco.] Concrete products include Portland cement and aggregate products including limestone, dolomite; granite, volcanic rock, sand, gravel, and other siliceous materials. These products, including fly ash, may contain more than 0.025% crystalline silica. Hazards: Freshly mixed' wet cement and/or fly, ash can cause eve irritation, skin_and eye burns andallergic skin reactions. Dry concrete and aggregate dust may cause irritation to eyes, skin, and/or respiratory tract. Dust front handling, crushing, grinding, cutting and/or drilling may contain silica, which may cause silicosis and cancer if inhaled. If ingested, keep warn, at rest, and drink large amounts of water. Fly Ash may contain trace amounts of ammo- nia. Moisture can cause the ammonia to be released. Inhalation of ammonia can cause coughing and irritation or burns of the nose, throat and lungs. See physician. Health risk depends on duration and level of exposure. Safety: Avoid contact with eyes and prolonged contact with skin. Wear gloves, eye protection, and appropriate protective clothing. Wash hands thoroughly with mild soap and water after handling. Avoid breathing dust. If' exposed to dust above recommended limits (see MSDS), wear suitable NIOSH-approved respiratory protection. First Aid: In case of eye contact, immediately flush eyes with flowing water for 15 minutes. If dust is inhaled, move to fresh air. If wet cement contacts skin, rinse,thoroughly with water. Get proper medical attention if irritation persists. CEMEX, Memorial Hermann Tower 929 Gessner, Suite 1900 V7 combined Houston, Texas 77024 02/12 For more informationplease visit www.cemexusa.com. Este ticket de entrega incluye como referencia al comprador (ya previamente ejecutada on su aplicacion de credito); cualquier termino estandar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del vendedor (con limitations y garantias), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveera los terminos esumdares y condiciones detal- lados en caso de asf ser requeridos. Con este documento, el comprador acepta los mismos ya antes mencionados y que lag cantidades y materiales fueron entregados como se expresa en el mismo. Acepta pagar el monto de acuerdo al contrato; al mends que se identi= fique con una nota al frente de.este documento. AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLANTES Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, rota volcdnica, arena, Brava y otros materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albanilerfa, pozzolan (tipo IP), azulejo de azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita, granito, rota volcdnica;, arena, grava, y otros materiales silicios. Estes productos incluyen cemzas volantes (fly ash) la cual puede contener mas de 0.025% de silicio cristalino. Peligros: Mezela de cemento frescoy1b cenizas volante reacciones alergieasen la pieL Concreto seen 3 .la zoria respiratoria. Polvo del-manejo on el tc silicos, los cuales pueden causar silicosis pultr en temperatura cilida, reposar y tomar grandes Seguridad: La humedad puede causar la liberation del an quemaduras en la nariz, garganta y pulmones. la duration y el nivel de la exposition. m causar irritaci6n en los ojos; quemaduras en pie] v ojos, y de agregados, pueden causar iriitaci6n on Jos ojos, pie] y/o en ento, pulido, torte y/o perforation puede contener materiales cancer si son inhalados. En caso de ser ingeridos, mantenerse ides de agua. Las,cenizas volantes pueden contener amomaco. La inhalation del amoniaco puede causar toser, irritation o inmediatamente at medico. El riesgo on la. salud depende en Seguridad Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, proteccion en los ojos y ropa Primeros adecuada para proteccion. Lavese lag manes con jabon suave y agua despues del manejo de materiales. Evite inhalar auxilios: pelves. Si se expone a pelves m5s de los limiter recomendados, use protecti6n respiratoria. Primeros auxilios: En caso de contacto en los ojos; inmediatamente f'luya agua en la pane afectada per 15 minutes. Si se inhala polvo, exp6ngase a aire fresco. Si of cemento fresco tiene contacto con sus ojos, lavelos a f'ondo con agua. Acuda a atencion medica inmediatamente si la irritation continua. CEMEX, Memorial Hermann Tower 929 Gessner, Suite 1900 V7 combinado Houston, Texas 77024 02/12 Para mas information visita www,ce: zzcc-mc-x a-1 � !I �• - r-� v Plant Begin Loading: To Job: Arrive Job: Start Unload: Finish Unload: Leave Job: Return Plant: Customer Code: Customer Name: Project Code: Project Name: Ticket Data Delivery Address: Delivery Instructions: Customer Job Number: Project P.O. Number: Order Code / Date: I Order P.O. Number: Map Page: Map/Row/Column: Dispatcher: Ticket Number. Due On Job: Slump: Tmck Number: Driver Number: Driver Name: End Use: I. J' LOAD CUMULATIVE QUANTITY QUANTITY QUANORDEREDTITY MATERIALCODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT , .-u .lief Cash Check#/Auth Code: Signature of Driver Receiving Cash: Cash Received: Total COD Order Amount to Collect Without Standby Charges: Check Charge Comments WATERADDED: GAL YARDS IN DRUM: WHEN ADDED. SIGNATURE CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: SIGNATURE ❑ LOAD WAS TESTED BY: Notice: Our drivers will make every effort to place materials where the customer designates, but the SPECIAL TERMS: Any water added is at customers own risk. If water is added on job, concrete strength Company assumes no responsibility for damages inside curb or property line. Customer agrees to the Is no longer guaranteed. WARNING: Product may cause skin and/or eye irritation. CAUTION: Material terms of sale and delivery and accepts concrete as is. Due W Important factors which are out of our may be hazardous to your safety and health. Please refer to the backside of this ticket for important control after delivery, this Company will not accept any responsibility for the finished results. No credit for safety handling information, and to the material safely data sheets for additlonal information. returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTHORIZED SIGNATURE: within one business day after the receipt of`alerials. © frL` Ik' II 68UNIVERSAL INVOICE This Delivery Ticket incorporates herein by reference Buyer's previously executed C-"a;t Application, if any, Seller's Standard Terms and Conditions, Seller's Quotatior my, and Seller's Order Confirmation (ini ng limitations of warranties), as if fully' set forth on this Delivery Ticket ("Agreer '). Seller will provide the Standard Terms auu Conditions upon request. Buyer agrees that, unless otherwise noted on the front hereof, all quantities and items were delivered as indicated and further expressly agrees to pay in accordance with the. Agreement. AGGREGATE / CEMENT / CONCRETE PRODUCTS / FLY ASH Aggregate products are naturally occurring materials including limestone, dolomite, granite, volcanic rock, sand, gravel, and other siliceous materials. Cement products include Portland cement, masonry, pozzolan (Type IP), roof tile, and stucco. Concrete products include Portland cement and aggregate products including limestone, dolomite, granite, volcanic rock, sand, gravel, and other siliceous materials. These products, including fly ash, may contain more than 0.025% crystalline silica. Hazards: Freshly mixed wet cement and/or fly ashcan cause eye irritation, skin and eye bums and allergic skin reactions. - — Dry 'concrete and aggregate'dust may cause iiritation to eyes, skin, and/or respiratory tract. Dust from handling, crashing, grinding, cutting and/or drilling may contain silica, which may cause silicosis and cancer if inhaled. If ingested, keep warm, at rest, and drink large amounts of water. Fly Ash may contain trace amounts of ammo- nia. Moisture can cause the ammonia to be released. Inhalation of ammonia can cause coughing and irritation or burns of the nose, throat and lungs. See physician. Health risk depends on duration and level of exposure. Safety: Avoid contact with eyes and prolonged contact with skin. Wear gloves, eye protection, and appropriate protective clothing. Wash hands thoroughly with [mild soap and water after handling. Avoid breathing dust. If exposed to dust above recommended limits (see MSDS), wear suitable NIOSH-approved respiratory protection. First Aid: In case of eye contact, immediately flush eyes with flowing water for 15 minutes. If dust is inhaled, move to fresh air. If wet cement contacts skin, rinse thoroughly with water. Get proper medical attention if irritation persists. CEMEX, Memorial Hermann Tower 929 Gessner, Suite 1900 V7 combined Houston, Texas 77024 02/12 For more information please visit www.cemexusa.com. Este ticket de entrega incluye come, referencia al comprador (ya previamente ejecutada en so aplicaci6n de credito); cualquier tenmino estandar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del vendedor (con limitaciones y garantias), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveera los terminos estandares y condiciones detal- lados en caso de asf set requeridos. Con este documento, el comprador acepta los mismos ya antes mencionados y que las cantidades y materiales fueron entregados como se expresa en el mismo. Acepta pagar el monto de acuerdo al contrato; al menos que se identi- fique con una nota al frente de este documento. / ULIV11+A 10 / YKUllUU I US JUL UUNUKKVU / U NI"GAS Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, roca volcanica, arena, grava y otros materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albaiiileria, pozzolan (tipo IP), azulejo de azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita, granito, roca volcanica, arena, guava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la cual puede contener mas de 0.025% de silicio cristalino. Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar irritaci6n en los ojos, quemaduras en piel y ojos, y reacciones alergicas en la piel. Concreto seco y polvo de agregados, pueden causar irritaci6n en los ojos, piel y/o en la zona respiratoria. Polvo del manejo en el trituramiento, pulido, corte y/o perforaci6n puede contener materiales silicos, los cuales pueden causar silicosis pulmonar y cancer si son inhalados. En caso de ser ingeridos, mantenerse en temperatura calida, reposar y tomar grandes cantidades de agua. Las cenizas volantes pueden contener amoniaco. Seguridad: La humedad puede causar la liberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar toser, irritaci6n o quemaduras en la nariz, gargaanta y pulmones. Acudir inmediatamente al medico. El riesgo en la salud depende en la duraci6n y el nivel de la exposici6n. Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, protecci6n en los ojos y ropa Primeros adecuada para protecci6n. Lavese las manos con jab6n suave y agua despues del manejo de materiales. Evite inhalar auxilios: polvos. Si se expone a polvos mas de los limites recomendados, use protecci6n respiratoria. Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en In parte afectada por 15 minutos. Si se inhala polvo, exp6ngase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, lavelos a fondo con agua. Acuda a atenci6n medica inmediatamente si la irritaci6n continda. CEMEX, Memorial Hermann Tower 929 Gessner, Suite 1900 V7 combinado Houston, Texas 77024 02/12 Para mas informaci6n visita www.cei IMmcx� 5344!3569 W PIAfi1, - I €T0eg%,,»'1' <fadinp 'fo b �`M �, Ar�,'° ,,Sta[3;UnMftit,WORMYd -'° �Lre�ize Jo'h , 3.=r �Returr,�Planf. �''� OgIergodp Mate: us+ 7"} Due On Job: Slump: I I Truck Number. I Driver Number. I Driver Nampe,--` E 1. 4` S, Ut1 1Uit,46, : t') c�1V, M n C RU00 tall ,. LOAD "a]IIANTITV :, Ci1MULATIVE ,- ORDERED SMATERIAL CODE Orl'aNTRY - `0R,DER.E0 - PRODUCTION DESCRIPTION 'r 11 End Use: AI_L7rIc: t-r�cs7�rr� 'UOfd UNIT PRI@S 'AMOUNT ���"�+k '�v�.i 14 f�= yl tl A t 111V���d�i 1�T��s�f}� i 5 '11� r �:✓1Y 14f1 {} 1 t� f11. fb Yi- . - , 71 e R w y z � s v zg il'" IIFyPi + U i { W(Mout9modb '.Cher ee ' Cheekizt`t` t Charge Comments: ,I, _ ..,y, _ .. .. WATEf'ADDED GAL, . YARDS.IN DRUM: WHENADD�ED. SIGNATURE C;hiCFtC %E f)'15t C75iAL FEE CURB LINE -CROSSED AT OWNERVAGENT'SREQUEST: _... PARTIAL. F•jt`U'L. YA'F DSF,..r, : , SIGNATURE '- :r' . 'ir::: It. t +di it , ❑LOAD WAS TEISTED . BY: Notice: Out drivers will make every effort to place materials where the customeCdeslgnates'.but:that SPECIAL TERMS: 2 Any weleradded is at customers own risk - Ifwatir is added an fob, bencrete strength Company assumes no responsibility for damages inside curb or property line. Customer agrees to the Is no longer guaranteed. WARNING: Product may cause skin and/or eye irritation. CA tens 4emis of sele.and delivery and axepis-mn ta as : -e to Important too am whibli'--are out,of our, -may be heTary iufs your safety;and,heellh, Please refer to the backside of,this ticket for Important" control after delivery, this Company will notaccept an responsibilityfor the finsheddesults. Nocredilfor' �Wfetyhandlirrglnforruegod;'end to themetedaleafetydatasheetsforadeibonelfNormatlon returned concrete. Guyana exceptions and claims shall be deemed,kIved Unless made to us In wiling AUTHORED SIGNATURE. within one business de after they of ate es y ��R� � � E'fF:: 1 v ISSUMVERSAL "INVOICE zzCGMC_x 53449577 Plant: Begin Loading: To Job: Arrive Job: Start Unload: Finish Unload: Leave Job: Return Plant: 3L/I()9= Customer Code: Custamer Name: 011 Project Code: Project Name: Ticket Date: Delivery Address: Delivery hrsauctions: Customer Job Number. Project P.O. Number. Order Code / Date: Order P.O. Number. L,i ! Map Page: Map/Row/Column: Dispatcher. Ticket Number. Due On Job: Slump: Tmck Number Driver Number. Driver Name: End Use: i, G;l ti�pc_3J.fi9 ? , 2 l J=FF BET TfJ, Pl Lr,,':,,, OJ); LOAD CUMULATIVE QUANTITY QUANTITY QOUANTRDERETYD MATERUILCODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT T. , . I'Ll I_lRJ114.41iGL Cash Check#/Auth Code: ( Signature of Driver Receiving Cash: Check Comments: E:FI: DISPOSAL FEE F'f1R f lf1L ._ FULL LOAD f _ YARDS Cash Received WATER YARDS IN DRUM: WHEN ADDED. CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: ram) ❑ LOAD WAS TESTED BY: _ SIGNATURE SIGNATURE Notice: Our drivers will make every effort to place materials where the customer designates, but the SPECIAL TERMS: Any water added is at customers own risk. If water is added on job, concrete strength Company assumes no responsibility for damages inside curb or property line. Customer agrees to the is no longer guarenteetl. WARNING: Product may cause skin and/or eye imitation. CAUTION: Material terms of sale and delivery and accepts concrete as is. Due to Important factors which am out of our, may be haazNous to ypui safety and health. Pieria refer to the backside of this ticket for important control after delivery, this Company will not accept any responsibility for the finished results. No credit for safety handling Information, and to the m tenal safety data sheets for additional infommation. returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTHORIZED SIGNATU� within one business day after the receipt of materials. O ( /j/ // .' 68UNIVERSAL !'F17V l RM J.irOE•4G _';i 1,ACK RUDOLF-'li I r L DAD NUM: ` INVOICE , This Delivery Ticket incorporates herein by reference Buyer's previously executed C---'=t Application, if any, Seller's Standard, Terms and Conditions, Seller's Quotation ny, and Seller's Order Confirmation (ins ng limitations of warranties), as if fully set forth on this Delivery Ticket ("Agreen '). Seller will provide the Standard Terns ana Conditions upon request. Buyer agrees that, unless otherwise noted on the front hereof, all quantities and items were delivered as indicated and further expressly agrees to pay in accordance with the Agreement. AGGREGATE / CEMENT / CONCRETE PRODUCTS / FLY ASH Aggregate products are naturally occurring materials including limestone, dolomite, granite, volcanic rock, sand, gravel, and other siliceous materials. Cement products include Portland cement, masonry, pozzolan (Type IP), roof tile, and stucco. Concrete products include Portland cement and aggregate products including limestone, dolomite, granite, volcanic rock, sand, gravel, and other siliceous materials. These products, including fly ash, may contain more than 0.025% crystalline silica. Hazards: _Freshly mixed wet cement and/or fly ash can cause eye irritation, skin and eye bums.and_allergic skin reactions- - Dry cancrete and aggregate dustmay cause ititation to eyes, skin, and/or respiratory tract. Dust from handling, crushing, grinding, cutting and/or drilling may contain silica, which may cause silicosis and cancer if inhaled. If ingested, keep warm, at rest, and drink large amounts of water. Fly Ash may contain trace amounts of ammo- nia. Moisture can cause the ammonia to be released. Inhalation of ammonia can cause coughing and irritation or burns of the nose, throat and lungs. See physician. Health risk depends on duration and level of exposure. Safety: Avoid contact with eyes and prolonged contact with skin. Wear gloves, eye protection, and appropriate protective clothing. Wash hands thoroughly with mild soap and water after handling. Avoid breathing dust. If exposed to dust above recommended limits (see MSDS), wear suitable NIOSH-approved respiratory protection. First Aid: In case of eye contact, immediately flush eyes with flowing water for 15 minutes. If dust'is inhaled, move to fresh air. If wet cement contacts skin, rinse thoroughly with water. Get proper medical attention if irritation persists. CEMEX, Memorial Hermann Tower 929 Gessner, Suite 1900 V7 combined Houston, Texas 77024 02/12 For more information please visit www.cemexush.com.- ` Este ticket de entrega incluye come, referencia al comprador (ya previamente ejecutada en su aplicaci6n de cr€dito); cualquier termino est indar, conditions del vendedor, propuestas del vendedor y orden de conf]rmaci6n del vendedor (con limitations y garamfas), como acuerdo total del ticket de entrega'("Contrato"). El vendedor proveer5 los terminos estdndares y conditions detal- lados•en caso de asf ser requeridos. Con este documento, el comprador acepta los mismos ya antes mencionados y que las cantidades y materiales fueron entregados como se expresa en el mismo. Acepta pagar el monto de acuerdo al contrato; al menos que se identi- fique con una nota al frente de este documento. AUKLUAUU, / 1:N:1V E N'1'U / PKULUU I'UJ VE UO NUKE l U / Los'productos de agregados son materiales naturales como piedra caliza, dolomita, granito, coca volcdnica, arena, grava y otros materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albanilerfa,`pozzolan (tipo IP), azutejo do azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita, granito, rocs volcdnica, arena, grava, y otros materiales silicibs. Estos productos incluyen cenizas'volantes (fly ash) la cual puede contener m5s de 0.025% de silicio cristalino. Peligros: Mezela de cemento fresco y/o cenizas volantes pueden causar irritaci6n en los ojos, quemaduras en piel y ojos, y reactions aldrgicas en la pie]. Concreto secoy polvo de agregados, pueden causar irritaci6n en Ins ojos, piel y/o en la zona respiratoria. Polvo del manejo en el trituramiento,'pulido, torte y/o perforac16n puede contener materiales silicos, los cuales pueden causar silicosis puhnonar y cancer si son inhalado's. En caso de ser ingeridos, mantenerse en temperatura chlida, reposar y tomar grandes cantidades de aqua. Las cenizas volantes pueden contener amoniaco. Seguridad: La humedad puede causar la liberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar toser, irritaci6n o quemaduras en la nariz, garganta y pulmones. Acudir inmediatamente al medico. El riesgo en la salud depende en la duraci6n y el nivel de la exposici6n. Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, protecci6n en los ojos y ropa Primeros adecuada Para protecci6n. Lavese las manos con jab6n suave y agua despues del manejo de materiales. Evite inhalar auxilios: polvos. Si se expone a polvos tn:is de los limites recomendados, use protecci6n respiratoria.. Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la parte afectada por 15 minutos. Si se inhala polvo, exp6ngase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, Iftvelos a fondo con agua. Acuda a atenci6n medica inmediatamente si la irritaci6n continda. CEMEX, Memorial Hermann Tower 929 Gessner, Suite 1900 V7 combinado Houston, Texas 77024 02/12 Para miis informacion visita www.cei L r 'Gus msr,code, ,_,,.-C6stomerin$rrte -°, ,v, V. ;..5,rg`, y$,45 _.., usss';y?.t .+u-z.,t ._ 2 ,> . s.Customer J6 14w6Eer., <=s -{ +, Order Code i DeYei=' kDelwei./,�I� uudLdnS 3`�-Smc'r'�^i"— '^^rzTV u q la+ ' v mow' trim i T"'{I'�at J:aH" can,.,"-.rF^c+.r i ^ to nth }l5 12„vSnf Jc` .(,d,ry r„�I i 'P'✓ � Cl dµ lily 4 r dE:li"4 d 1 fi �A4 4 1 <y F 4 Afi i ]1Li�yd+ly` rJi 'l J `�}. i f ry "fl$!1 1 i4J ,ii5 l l�l T4 !i~,y t . rt.. 4 4 S'Y �. M IL 1( {' '�'ji s�,M.rC , a IpcD epatch0d r!. i}, �sr M �� � 4 Cud„ " '^' �, IM1114jai Y .it V 0,+ ,�t SI } �'is L� r,y �'c��"y� 11('.''ruurr7 , xYy*•�rlli't �l,,// s�d�✓i�"V"`S F4i lai''sa,�,'�"fLb(j�k��"�y4" ��1 T�.ri f f �4m wl'i�4a�i y N l€ I i4 i p4phf S� I f� sip � iS 6y } 11 T I S yk C y M1 tAr R 5} } 17 �4�j }F % �11. 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Driver Name lr `y 11 • +u5l' SgL;TER, End Use: 1• "{iris e BUNG RIOTER. v, .�ktiht� rNRRRi.1= ylj:FF- =lpAO CUMULATIVE: ORDERED, RIAL CODE fin•-;+' PRODUCTION DESCRIPTION '- ` UOM UNIT PRICE ATE '. ATE QUANTITY QMANTITY ".. dumfrry M t AMOUNT' i- t... •,��k SS �a+k!"rk5{kriy'*i6YWrokrk$U�sryc�?11�1/ Lr�fl3ttlsd'at13 �,yk rsY l,�!I,ark lX a Yyxt'd "�` H't• ", < #w v t"�I raat, 5 ; t 5 'ua, c T• 4}st n { hii >�4� E, (1"�b kr','( �S YSSh�l'��{,. 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[44[t".'ihi �))yy[[v�� �yyL..LL`I� l ',�n�$ 'I ! 4A' EtY }� kC {}- uyb %", y� CY jYYIIc" 'I .`d-t 1•. `@'nS' „ f�HSf ,(� ✓a:'.4 i4�y,j%`Y%1 1%' 0 ��3„�� .I -b 1$Y hG�a. , d ••v.> '"t. 1 a ;� � "� n S � .':.- w.i C <.v� t*,. ..-.n!ii�'MTt r- _t, ' -Cash "bheekd/Au(h Code{" ilgnelyte O�H[Ner C�eceYving Coshl;{. iPJJ#,r r'{{bea tE r `F+"'31i7"1-f,hr t1 rGmTM+' r'R'u�,'{ id°t j ud46'r r -+�•' yr{ 4 1 sir ERi a S 'k ii yiTn i`s ✓C�sN RersNed i `fdtelC "" bypinoum to Collect .B �' _" itF'F Y, rS s 1 WItLUut'Standb CNe rvsit: ly it (qH q (, . si vM ,.g s,,���;yyyy /{// Fi 9 hn' l� f J r. t}51 �} ZY✓ ry f ? Pi A X y r , J € 9 `"' G` tv t 4'9 ltii4nir„ .<mN M+('iM[�b..k ✓.. +�.5f, ,M a, n'Ni✓�rb$ v S a^r �1.nXra��„ �dnR'' ac'�+ r Li k4'6xU" f�' Y.+i;y aya�+4 `isin,E at1,�w _. mmente + + W�TE,fj�DDED, GALi . I YARDS IN;DRUM - . , W E HEN ADD D ... _,..[i tl';r r+.$. - .. 'a` SIGNATURE hY:-• - mATOW14WS/AGENT$' REQUEST: - CURB LMR'CROSS ' ONC RE E DLES 0SAL: FEE-'', „ „, ' 4w PORT,.06 Yf.r. , sloNArunE ❑LOAWAST.ST.;B. ,Y: Notices Our drivers wig make every effort to place matedels where theiustotoerideS1 jhWos, but thel Compeny assumes no responsibility for damages Inside curb or property line. Customer; aoreas to the SPECWUTERMS: � Any water iWdecl Is at casuereers own risk. Ifwaler Is added on lob, eorma atrength, Who longer guaranteed. WARNING: Product may muse akin, andfor eye Initiation. CAUTION: Metedal, terms o(9hle and delivery pnd accepts.aancrete ae Is: =.Otis to important feaom which ere ou4P1'abr mnlroTsker deliNery; this Company Will notaaapt Due, to 1peY 6e he2eldpusY to yyyp ety•,end he bh. Iease refeololti79.barksttle of'Nls:dilcat for,impodenl. edfe(yhandling Info' tion,an Mlh'e • ri Eeta sheeta far ado19 nelinformation. returned mnrn9te. 0uyeta'ekceptione erddlekns shag be tleemeo weNeC unless meda'lo up in writing within onor buslneas day eaerthe receipt of materials. _faly AUTHORIZED S,IO R ' PREV T"RY.: L.Of-)D NUM 66UNIVERSAL - (� INVOICE V. ZZ6-mc-x 53445583 t -- .Plant: Begin Loading'. ToJob: Arrive Job: Start Unload: Finish Unload: Leave Job: Return Plant: Customer Code: Customer Name: ' II-LCOX OROUV' Li-C Project Code: Project Name: Ticket Date: DeliveryAddress: Imo, r, T CIL I C rC Delivery Instructions: Customer Jab Number Project P.O. Number. Order Code I Date: 31t1 41)l21/1G Order P.O. Number. Map Page: MapfRowlColumn2.71 Dispatcher: Ticket Number. 346'j1 i s3 Due On Job: Slump: Truck Number: Driver Number: Driver Name: End Use. 1 ,), Of! t OC�.oc_? i09'-t ir�f v f2UCnL^II L+! DNG: F�01'EP LOAD CUMULATIVE ORDERED MATERIAL CODE QUANTITY QUANTITY QUANTITY PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT 'pMP YD --?IVIPOI.IMMOTPL- CFIARS- Cash Check #/Auth Code: Signature of Driver Receiving Cash: Cash Received Tetal COD Order Amount to Collect hout Standby Cha Check Witrges: ,Charge I Comments: r ,/ WATER ADDED: YARDS IN DRUM: WHEN ADDED. CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: ONCRf-T' RISGOclaL_ FhE ri-AT I �11. f- IJLI_ LORD / F:a RC1R SIGNATURE -'— —.-- -r --- ❑ LOAD WAS TESTED BY: Notice: Our drivers will make every effort to place materials where the customer designates, but the SPECIAL TERMS: Any water added is at customers own risk. Ifwater is added on job. concrete strength Company assumes no responsibility for damages inside curb or property line. Customer agrees to the is no longer guaranteed. WARNING: Product may cause skin and/or eye irritation. CAUTION: Met0af. terms of sale and delivery and accepts concrete as is. Due to important factors which are out of our may be hazardous to your safety and,health. Please refer b the backside of this.ticket r important control after delivery, this Company will not accept any responsibility for the finished results. No credit for safety handling infortnalion`,a��he mat �al sa%tytlala sheets.foraddition`al in(onna[ion. within o concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing ©ROR¢ED Sift Er�. within one business day after the receipt of materials. Gig 1-1r(r.V Ir(r,: ti, C.l Icri - 68UNIVERSAL INVOICE This Delivery Ticket incorporates herein by reference Buyer's previously executed C--a't Application, if any, Seller's Standard„ Terms and Conditions, Seller's Quotatior iny, and Seller's Order Confirmation (ini ng limitations of warranties), as if fully set forth on this Delivery Ticket ("Agreen '). Seller will provide the Standard Terms and Conditions upon request. Buyer agrees that, unless otherwise noted on the front hereof, all quantities and items were delivered as indicated and further expressly agrees to pay in accordance with the Agreement. AGGREGATE / CEMENT / CONCRETE PRODUCTS / FLY ASH Aggregate products are naturally occurring materials including limestone, dolomite, granite, volcanic rock, sand, gravel, and other siliceous materials. Cement products include Portland cement, masonry, pozzolan (Type IP), roof tile, and stucco. Concrete products include Portland cement and aggregate products including limestone, dolomite, granite, volcanic rock, sand, gravel, and other siliceous materials. These products, including fly ash, may contain more than 0.025% crystalline silica. Hazards: Freshly mixed wet cement and/or fly ash can cause eye irritation, skin and eye bums and allergic skin reactions. —Dry concrete and aggregate dust may cause iiritation'td eyes, skin, and%or respiratory tract. Dust from handling, crushing, grinding, cutting and/or drilling may contain silica, which may cause silicosis and cancer if inhaled. If ingested, keep warm, at rest, and drink large amounts of water. Fly Ash may contain trace amounts of ammo- nia. Moisture can cause the ammonia to be released. Inhalation of ammonia can cause coughing and irritation or bums of the nose, throat and lungs. See physician. Health risk depends on duration and level of exposure. Safety: Avoid contact with eyes and prolonged contact with skin. Wear gloves, eye protection, and appropriate protective clothing. Wash hands thoroughly with mild soap and water after handling. Avoid breathing dust. If exposed to dust above recommended limits (see MSDS), wear suitable NIOSH-approved respiratory protection. First Aid: In case of eye contact, immediately flush eyes with flowing water for 15 minutes. If dust is inhaled, move to fresh air. If wet cement contacts skin, rinse thoroughly with water. Get proper medical attention if irritation persists. CEMEX, Memorial Hermann Tower 929 Gessner, Suite 1900 V7 combined Houston, Texas 77024 02/12 For more information please visit www.cemexusa.com. Este ticket de entrega incluye como referencia al comprador (ya previamente ejecutada en su aplicaci6n de cr6dito); cualquier t6rmino est indar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del vendedor (con limitaciones y garantfas), como acuerdo total del ticket de entrega ("Contrato"). El vendedor proveerda los t6nninos estandares y condiciones detal- lados en caso de asf ser requeridos. Con este documento, el comprador acepta los mismos ya antes mencionados y que las cantidades y materiales fueron entregados como se expresa en el mismo. Acepta pagar el monto de acuerdo a] contacto; at menos que se identi- fique con una nota a] frente de este documento. AhK1M yAJJVJ / l L' 1VIEIN I V / Ilj J VULA1N YES Los productos de agregados son materiales naturaley como piedra caliza, dolomita, granito, roca volc mica, arena, gravy y otros materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de alba]iilerfa, pozzolan (tipo IP), azulejo de azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita, granito, roca volcanica, arena, grava, y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la cual puede contener mas de 0.025% de silicio cristalino. Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar irritaci6n en los ojos, quemaduras en piel y ojos., y reacciones aldrgicas en la piel. Concreto seco y polvo de agregados, pueden causar irritaci6n en los ojos, piel y/o en la zonarespiratoria. Polvo del manejo en el trituramiento, pulido, corte y/o perforaci6n puede contener materiales silicon, los cuales pueden causar silicosis pulmonar y cancer si son inhalados. En caso de ser ingeridos, mantenerse en temperatura ciilida, reposar y tomar gt andes cantidades de agua. Las cenizas volantes pueden contener amoniaco: Seguridad: La humedad puede causar la liberaci6n del amoniaco. La inhalac]6n del amoniaco puede causar toser, irritaci6n o quemaduras en la nariz, garganta y pulmones. Acudir inmediatamente al medico. El riesgo en la salud depende en la duraci6n y el nivel de la exposici6n. Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, protecci6n en los ojos y ropa Primeros adecuada para protecci6n. Lavese las.manos con jab6n suave y agua despu6s del manejo de materiales. Evite inhalar auxilios: polvos. Si se expone a polvos mas de los limites recomendados, use protecci6n respiratoria. Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la pane afectada por 15 minutos. Si se inhala polvo, exp6ngase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, lavelos a fondo con agua. Acuda a atenci6n mddica inmediatamente si la irritaci6n continua. CEMEX, Memorial Hermann Tower 929 Gessner, Suite 1900 V7 combinado Houston, Texas 77024 02/12 Para mis infonnaci6n visits www.ceinexLisa.com. h ` rttD' `,#Ai4= '•./w '�^r' ssy YAn vaR p N ,vee ^n 9.. 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'4ry11 �T�i ��'.J,1:'9. :'4W,,i% fra��t1 ,,{, �-0111111kik � %N 11��{k (f•p-?((�?'�I',�I i4 b!"'� {�MN{J�11ia4 �*YiJ�r i } f li4'I\t y,i � All l' 4 � "w /$ i�� } G�kIF'R �k s.k�h�4 �I�^'f�rY fM i. t i pywy try Y .m 1 tJ-f x Sgt4 µqy >,f�'+"4 1 E d S .2.�1 ✓ f`� -: 1_ 14 \ �}t✓_ N f � �� °rkr 4ti 1#' 4�4 �'�!R )'�y�iaf xt {( ��� M1'�'' YJ.'i. �rir,{N t]k"}r A y� 'I i� "'^."rv�i i�T�y; 1 k itr�liF k Afy(• 3r t _.d iQ�y;}, € Y F 4 �,�`i lr4 rii ��88�� t 4 -tl T� ,.'iC I v h+,r`^tea '7v.+Y c.,b xh. ", "r".4X•,14'G mr+nv,.e .1`a : 1n f Tte6rt Chaii< /Ruth Coaa ;` 'ffiignafure" tdNVer ecelvNlg'Cesb ui y4aL5n, s), tiF "`,),A 1 -' � ash Raoelvped ,.!"+ -r" folelCQb Order Amount to Coliact� 4>; wi�T'�r�l}fNa{r�fNik`di"t i. 't^(fYD �wL'Q�iY"T f�i1'hiN!{Pt'tk-µ Wlblout StAndby Charges Check a1 {{ SS v v�a�s -r ku-°pputt f r to 5 - r .�.�q ,.A ?{r#+S'F`"r�'�h1rG� �t,T 9}C 3kx"dih`Jg7aj`>YJiJfr lt*�Ty'Se��+,txP�^7i' a/r&1?� J 11: xir u- i „+ r5(9) !, f ua3'> ,. ,, elrikr'1*ad' , herge ✓cv� `t , `i9n i4°s x„ ><,,,+. a, ?zk»lfn.sir-,.FM .„Se +}4<"j"h"x ht J1 i�rCYtr; rf .t trY •d•n.�,:.2 ,,. 1.. ..f1.4t (.4 v., r .: ;Sz ;r,, .. ,WATERQDDED - GAL. YARDS IN,DRUM " . .', •' ..,: ', .- ;... WHENADDED'',e.. - .•'.. . - 1: )s, 'si •. - ii r ` ";i •, SIGNATURE -CURB LWE'CROSSEb-AT OWNER'S/AGENTS REQUEST: - OIVURC f} ��g }Tj�iAO df1L T I Prr rt A fL P ULr LF.J / I'PY�S SIGNATURE », ^ r e •' F(':aL a.,, Savx ,. sr .e • .,.... .., .... ..: O LOAD WAS TESTED. , .BY -- ., INolIce;. Our drivers will joakp every'effod la place materials where Nei tustomer.tleslgrates bubthe SPECIAL TERMS:,.Any Watenadded Is it c istomers own risk. Ir Water Is addedon job, concrete strength iComparyy assumes no-resporteibil tac d¢me8es Inside wrb or property'line Cuatomer,egreas to IAe (ejms of;s870 and;deliveiy atM'acGebfa-OgaIXata as Isi DUa la Importarll (6dgre.xTich `ere oUt of qur; wntror eRer delrvery, this Compapy , is no longer guaranteed WARNING: Product may cause skin and/Or eye IMlat!pn, CAUIIO Mataria'L "y'�b�o hp;8nd la;jo your feylenpp ttealt�:. Please or (o the. backsitle oj�Is.,gek6lTar Imponent. Isdreryhentlpng9r(g` vnllpol accept eqy, responaibfliryfor lltefimshed results."No cVeditfor; relumed'codarele Buyeie e><cepgona soil delms shag ba deemetl'weived-wlesamede b' us In wrgng, withlnore business day after tharege7pt and K$'mae a 11gGis,IaretldWtlfiallrtformawn 'AUTNOR6E GN -rwr%Mv 11-011 ivvc:d0di•:! r../1::A-V, .yt. d. k14,N LUHU NIJI'I:a '5 -�r .j88UNIVERSAL_ , ' .. .. � .:. '.. .. INVOICE zzcc-mc-x 53449413 .Plant: Begin Loading: ' -To Job: Arrive Job; Start Unload: Finish Unload: Leave Job: Return Plant: Customer Code: Customer Name: ' Project Code:' " Project Name: Ticket Date: Delivery Address: n. :F, =•r• f:U^Si-R NLUD f,DRT 57 t UC? Delivery Instructions: Customer Job Number. Project P.O. Number. Order Code / Date: Oitler P.O..Number. l!L �- Pit_ MasYv Map/Raw/Column: Dispatcher: DC EF-FirJ Ticket Number: 346824>22 Due On Job: Slump: Truck Number: Driver Number: Driver Name: End Use: .?17 9.00 tr; S9" ,; TYRnHt- LiTi FnR7 F•I.PiOr,: PI'O FI. t LOAD QUANTITY CUMULATIVE QUANTITY ORDERED QUANTITY MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT t - 0 Cash Check #/Auth Cade: Signature of Driver Receiving Cash: Cash Received: Check Comments: r;l,1r'RE i E D.[S009ni_ FEE WATER Total COD Order Amount to Collect Without Standby Charges: YARDS IN DRUM: WHEN ADDED. • I CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: SIGNATURE PPRI IAL. ___ FUL.L. '_ORD Ynj,ofj' SIGNATURE ❑ LOAD WAS TESTED BY: Notice: Our drivers will make every effort to place materials where the customer designates, but the SPECIAL TERMS: Any water added is at customers own risk. If water is added on job, concrete strength Company assumes no responsibility for damages Inside curb or property line. Customer agrees to the is no longer guaranteed. WARNING: Product may muse skin and/or eye irritation. CAUTION: Material terms of sale and delivery and accepts concrete as is. Due to important factors which are out of our may be hazardous to your safety and health. Please refer to the backside of this ticket for important control after delivery, this Company will not accept any responsibility for the finished results. No credit for safety handling information, and to the material safety data sheets for additional Information. returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTHORIZED SIGNATURE:—� (n�` �— �/ within one business day after the receipt of materials. O v V — -- 68UNIVERSAL P RE V T K - INVOICE This Delivery Ticket incorporates herein by reference Buyer's previously executed C--' :, Application, if any, Seller's Standard Terms and Conditions, Seller's Quotation ay, and Seller's Order Confirmation (inc rg limitations of warranties), as if fully set forth on this Delivery Ticket ("Agreem___ ). Seller will provide the Standard Terms uuu Conditions upon request. Buyer agrees that, unless otherwise noted on the front hereof, all quantities and items were delivered as indicated and further expressly agrees to pay in accordance with the Agreement. AGGREGATE / CEMENT / CONCRETE PRODUCTS / FLY ASH Aggregate products are naturally occurring materials including limestone, dolomite, granite, volcanic rock, sand, gravel, and other siliceous materials. Cement products include Portland cement, masonry, pozzolan (Type IP), roof tile, and stucco. Concrete products include Portland cement and aggregate products including limestone, dolomite, granite, volcanic rock, sand, gravel, and other siliceous materials. These products, including fly ash, may contain more than 0.025% crystalline silica. Hazards:-_ _. Freshly mixed wet cement and/or fly ash can cause_eyeirritation, skin and eye bums and allergic_skin reactions._ - - ` Dry concrete add aggregate dust may cause irritation'to eyes, skin, and/or respiratory tract. Dust from handling, crushing, grinding, cutting and/or drilling may contain silica, which may cause silicosis and cancer if inhaled. If ingested, keep warn, at rest, and drink large amounts of water. Fly Ash may contain trace amounts of ammo- nia. Moisture can cause the ammonia to be released. Inhalation of ammonia can cause coughing and irritation or bums of the nose, throat and lungs. See physician. Health risk depends on duration and level of exposure. Safety: Avoid contact with eyes and prolonged contact with skin. Wear gloves, eye protection, and appropriate protective clothing. Wash hands thoroughly with mild soap and water after handling. Avoid breathing dust. If exposed to dust above recommended limits (see MSDS), wear suitable NIOSH-approved respiratory protection. First Aid: In case of eye contact, immediately flush eyes with flowing water for 15 minutes. If dust is inhaled, move to fresh air. If wet cement contacts skin, rinse thoroughly with water. Get proper medical attention if irritation persists. CEMEX, Memorial Hermann Tower 929 Gessner, Suite 1900 V7 combined Houston, Texas 77024 02/12 For more information please visit www.cemexusa.com. Este ticket de entrega incluye Como referencia at comprador (ya previamente ejecutada en so aplicaci6n de credito); cualquier terrnino estitndar, condiciones del vendedor, propuestas del vendedor y orden de confirmaci6n del vendedor (con limitaciones y garantfas), como acuerdo total del ticket de entrega (`Contrato"). El vendedor proveera los terminos esOndares y condiciones detal- Jades en caso de asf ser requeridos. Con este documento, el comprador acepta Jos mismos ya antes mencionados y que las cantidades y materiales fueron entregados como se expresa en el mismo. Acepta pagar el monto de acuerdo al contrcto; at menos que se identi- fique con una nota al frente de este documento. AURWADOS / UEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLANTES Los productos de agregados son materiales naturales como piedra cahza, dolomita, granito, coca volcAnica, arena, grava y otros materiales silicios. Los productos de cemento incluyen Cemento de tipo Portland, de albaiiilerfa, pozzolan (tipo IP), azulejo de azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita, granite, roca volcanica, arena, Brava, y otros materiales silicios. Estes productos incluyen cenizas volantes (fly ash) la cual puede contener mds de 0.025% de silicio cristalino. Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar irritacio'n en los ojos, quemaduras en pie] y ojos, y reacciones alergicas en la piel. Concreto seco y polvo de agregados, pueden causar irritaci6n en los ojos, piel y/o en la zona respiratoria. Polvo del manejo en el trituramiento, pulido, corte y/o perforaci6n puede contener materiales silicos, los cuales pueden causar silicosis pulmonar y cancer si son inhalados. En caso de ser ingeridos, mantenerse en temperatura calida, reposar y tomar grandes cantidades de agua. Las cenizas volantes pueden contener amoniaco. Seguridad: La humedad puede causar la liberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar toser, irritaci6n o quemaduras en la nariz, garganta y pulmones. Acudir inmediatamente al medico. El riesgo en la salud depende en la duraci6n y el nivel de la exposici6n. Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes, protecci6n en los ojos y ropa Primeros adecuada para protecci6n. Lavese las mans con jab6n suave y agua despues del manejo de materiales. Evite inhalar auxilios: polvos. Si se expone a polvos mds de los limites recomendados, use protecci6n respiratoria. Primeros auxilios: En caso de contacto en los ojos, inmediatamente fluya agua en la parte afectada por 15 minutes. Si se inhala polvo, exp6ngase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, lavelos a fondo con agua. Acuda a atenci6n medica inmediatamente si la initaci6n continua. CEMEX, Memorial Hermann Tower 929 Gessner, Suite 1900 V7 combinado Houston, Texas 77024 02/12 Para m5s informaci6n visita www.ce. =,, ustomar.lo6Number = OMerCotla/Date: - e - Due OeJoIr Slump: '`$' "" Truck Number,' - Driver Number. Driver Name:- End Use: ` 1.?^.3X7 Y A DNG, -i. _R ,.:LOAD. ,GUb1Ulh7ryE •'Fe ORDERED,n tiMATERUIL'DODE PRODUCTION DESCRIPTION UOM KNIT PRIQE ^' r AMOUNT nuegrtry Y rnkrnmv . 'ralleunrv. I>�Xp�rif'_'T,-jx --1 S`iies7; Ti "" ,f mx 1L,: `� nx e ' ..s 5 li WliHaut$teWdby Ctrargas i� Check .Charge Comments WATERADDED.. GAL YAROWN;DRUM ...-. .. ... -WHEN. ADDED. SIGNATURE CURB LINE'CROSSED AT OWNER'SIAGENT'S REQUE§T: ONCRE-TE DISPOSAL PEE SIGNATURE _,.PWRi"tAL! PULL - LOAD Yf-56IJ�� - QLOAD WASTESTED,, BY -r :Notice: Our ddvem will make everyeffortto; piece materials where 1hd;.cust6mer designates, but ms 'SPECIAL TERMS:( Any Water adtlad Is at customer's owhTisk If wAter isadded�onjob, concrete strength Company assumes no responsibility for damages inside curb or property line. Customer agrees to the is no longer guaranteed. WARNING: Product may cause skin andfor eye Initation. CAUTION: Material 'terms of sale and dalivery and accepts. oonrnate as is. Due to Important factors *Ncii;are out of pur may ba hazardous to your safety and,health.' Please refer to the backside of this ticket for important conbol after delivery, this Company will not eccepl any responsibility forme finished results - No dredit for safety haadling Infomtat and to the material as ety data sheets for additional information returned concrete, Buyers exceptions and Galms shall be deemed waived unless made to us in writing AUTHORIZED SIGNAT 'vnlfiin oneb`usmessday after the recelpt of materials. seuNlvegsAt 1-' C2E. V T RK : NUM ° L INVOICE,: