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CEMEX PAPPERS
! _ ./ ' •, 53448327 RECEDED " SCHNNED j :. SEP 14 2016 BY J St, Lucie County ` " t APlant}BeginLoading-y frr,.,-,.iTo Job, Job: X,Start Customer Code: .Customer Name: ,::'.. Customer. Job Number. - Order Code/Date: I_ ll_}}��,�.. , pptt�� TThy �'ji�� etfag.q, '+ a*`#'IV1'S CONSTRUCT-LON ProleG P.O,IJumber + ..•-?rFaii_P.O.Numbar•'��E`�1 r , ;P'prdJ�t�f rl t'F}AL � Ticket Oate: y, .OetiveryAdtlress;, `�"\i __„_—. ._ _., - _ __._ -. '_' __,. .. -• �Fa -Map/Row/Columnf,-,' Dispatcher: . -- ' Ticket Number. 34590829 'i ' LOAD` OUANTfpY CUMULATIVE QUANTITY ORDERED QUANTITY' MATERIAL CODE - PRODUCTION9ESCRIPTION + - - -UOM UNITPRICE AMOUNT 5. 50 5. Sty' ' 5.-51D' 155I776 YD3 ' • 'SEP & M11 a6 1 1-. Gk? 1?ja P,91$ FULf +SUf Pj!fa13Gr _. i j Z„ f]0 ., 1c --749 C1dt/ZRgNKEi�Tk1L CRARGE Cash'•. Check#yAuth Code: nature of Driver Receiving Cash: -,.. Cash Received: Total COD Order Amount to Collect. ,� •+.� ii - - - Without Standby Charges: Check . a --- Charge .t:. Commentsi- - WATERADDED: GAL YARDS IN DRUM: - - - -• WHEN ADDED. r , SIGNATURE - - ' - - - CURB LINE CROSSED AT`OWNER'S/AGENT'S REQUEST: - , ONCRETF_ DISPOSAL FEE 1 _ PARTIAL, FULL LOAD _ YARDS SIGNATURE ❑ LOAD WAS TESTED BY: j Notice: Our drivers will make every effort to place materials where the customer designates, but me SPECIAL TERMS: Any water added is at customers own risk. If water is added an job, concrete strength I Company assumes no responsbilily, for damages inside curb or property lure. Customer agrees to the is no longprguaranteed. WARNING: Product may muse skin and/or eye imitation. CAUTION: Material terms of sale and delivery and accepts concrete as is. Due to important factors which am auk of our ' for finished. Nocredllfor may be hazardous to your safety and health. Pk:ase refer b the backside of this ticket for important 11rldling'information, data for control afterdelivery, this Company will not accept any responsibility the resuhs. returned wricrele. Buyers exceptions and claims shall be deemed waived. unless made to us in venting Safetq and to the material safety sheets additional infommtion. AU R D SIGNATURE / i within one business day after the receipt of materials. ©/ ' l PRF-V TRKc F '�(,._ �--~'� LUNli NUM: r / 68UNIVERSAL - - - - INVOICE JJ — Unloadd Finish Unload: ' Leave Job: •"RetumPlant: Due On Job: Slump: Track Number. Ddver Number. Driver Name: r Fstl Use:- 1,:31] 5. O:? lt]42Fi�r10 it]92t]7 'ENYJY, MALU�E Ut•1RSSIGNEiT zzCC—MC—x -Plant: - [ Begin Loading: : To Job: ArrivJe Job: ' StartlUnloadi Finish Unload: Leave Job: - Retum PIanF. �� � � � Customer Code: Customer Name:. '- PmlectCotle: R rolbsrNamr� {! DAVIS Cd1N,, . *iliC: f .03w Ticket Date: Delivery Address: 1 ' Customer Job Number: Order Code IDatte- Project P.O. Number. 4OrtlerP.O. Numbar."/ �'�u � IS / IT, Page. apiRow/Column: Dispatcher: ' I�C= ;7AI`±�^i Ticket Number. 3r4r;u4319 Due On Job: Slump: TmWC Number: Driver Number. Driver Name: End Use: iS . fit, iui 2576 f 1„9S2,5 POB COLEMA v L'iJAS IE i iG LOAD CUMULATNE ORDERED MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT QUANTITY GUANTITY QUANTITY 17. Oo I $ 5 497 mom=YD:. (Al C) 12,67316 FUEL SURCHARGE 1 f 0, 7� 9 ENV T GONNENTAL CHARGE Cash Check 4/Auth Code- Signature of Driver Receiving Cash: Cash Received: Total COD Order Amount to Collect Check Without Standby Charges: Charge Comments: i _ WATER ADDED: v GAL YARDS IN DRUM: WHEN ADDED. CURB LINE CROSSED AT OWNER'SIAGENT'S REQUEST: CUIdCRETE DISPOSAL FEE PARTIAL FULL LOAD 6 YARDS 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 andfor eye inflation. CAUTION: Material terms of sale and delivery and accepts concrete as is. Due to important fascism which are out of our may be hazardous to your safety and health. tease refer to the backside of this ticket for important control after delivery. this Company will not accept any responsibility for the finished results. Nocretlitfor'safety handling. information,, pal to the mated fety dafas"heets for additional infannaIca. retumed coname. 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. © //Rj'f/// 68UNIVERSAL PREV IRK': / INVOICE LOAD NUMt- I !!!/// ZZLEMEX, 53448506 Plant:" ,? Begin Loading:• To Job: - Active Job: Start Unload: Finish Unload: Leave Job: Retum Plant: I Customer Code: Customer Name: Customer Job Number. Order Code/Date: I Ur_�t�2u R].CHAPD K DAVIS CONSTRUGTT,L7hJ r4c_, OSfi1/;r Project Code: Project Name; Project P.O. Number; Order P.O. Number. Ticket Date; Delivery Address: ,5 j r},Aa'p Page: Map/Row/Colum¢ Y c72 27272Oc_1 Delivery instructions:- .. Dispatcher DLSEAMS T abet Number. Due On Job: Slump: Track Number Driver Number. Driver Name: End Use- 7.5( S. it eel '75s 4t?^-,'2L4 RJhc 4•SSL.rOt�D U"VASSIf�11E17 LOAD CUMULATNE ORDERED MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT QUANTITY QUANTITY QUANTRY 7. f�G 17. ihlI 17. O(i :: € : <:y7 • YC3 CIO Cash Check#/Auth Code: Check Comments: RETE D1 SPOSP41 PARTIAL t 1 �Gc7 i•9 EPVj i RONMSNTAL CHARGE WATER ADDED: � GAL EE? ! tilt 8:02 Total COD Order Amount he Collect Wrthoul Standby Charges: YARDS IN DRU'. WHEN ADDED. CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST: LOAD ___ YARDS SIGNATURE ❑ LOAD WAS TESTED BY Nohee: Our drivers will make every effort to place materials whom the customer dosynates, but the SPECIAL TERMS: Any water added is at customers own risk. If water is added on job• ccnrzete strength Comppaany assurrcee no responshiley for damages inside curb or property fue. Customer agrees to the is no longer guaranteed WARNING: Pmdna may cause skin and/or eye irritation. CAUTION: Mamnal tenn§.:of sale and delivery and accepts concrete as is Due to important factors which am out of our may be hazardous to your safety end 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. Ne 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: within one business day after the receipt of materials. /1 68UNIVERSAL INVOICE