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Home My WebLink AboutCONCRETE PAPPERS 2r •� +� - 3Zlo }1 I tllt� 1,11 it �'jrjl II Ii,I,l+l�l 'r B 1142 Water Tower Road, Lake Park FL 33403 St. Lucie Countv n}uno j a,onl -jS Office:t-677-484-9994 /Fax:561-844-7102 ' a. South East Florida Division Dispatch: 561-844-9994 1 Central Florida Divlsion.Dispatch: 407-339-5311 Concrete Tested ❑ Yes. ONO - LOT # '-• - = Water Added at Customer's ' Cylinders' Taken ❑Yes. ElNo - Request - gals. to full load Comments gals... to 2/3 load gals. to'1/3'load „'Customer's Rep - Water Added - If ; - ''IOT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL WATER ADDED TO THIS ARIATION IN COLOR OR Cement polymer or freshly mixed concrete may cause skin injury: Avoid contact with DISCOLORATION skin and wash exposed skin areas promptly with water. If any cement powder or CONCRETE WILL REDUCE ITS STRENGTH ..JRFACE - -- ure'gets into eyes, rinse immediately and repeatedly with water and get prompt meofcal attention Keep children away from cement powder and all freshly mixed :AND DURABILITY. ANY WATER ADDED IS BATCH TIME , cement products.. AT CUSTOMER'S OWN RISK. r To job On, I-K BegIn Pour Begin Wash PLANT- - TICKET,# ORDER # TRUCK #' LOAD STZ* Mrx - - - SL}1MP DATE. - n CUSTOMER# $OLDTO P,O.# PROJECT#, - I '- I' i .DELIVERY ADDRESS - - ZONE# USE DRIVER INSTRUCTIONS _ - TIME DUE - •.D CUMULATIVE ORDERED PRODUCT••E PRODUCT DESCRIPTIO O.M.• QUANTITY QUANTITY QUANTITY 1 't SIGNATURE OR RECEIPT r CONCRETE AND ACKNOWLEDGEMENT OF HAZARD WARNING! _ axe meyer oncr e,ompanywlrco ,assume Ia I I or any properry damage or any equipment damage for any deliveries beyond: the curb line. SUB -TOTAL TAX 7HIPMENT.Sl1BfECT AUTHORIZED BY _ TO CONDITIONS ON'REVERSE SIDE. - _ TOTAL THIS DEf.IVERY IS MADE Oustornrragrees to provide a suitable roadwayfor ourtrta:its from the street pavement to the place of delivery of rnateriai. such suitable roadways are'hat provided, we reserve tho ight to stop deliveries until conditions are remedied and, in such rustomer wi'I to heid responsible for any toss pausal thereby 2. Von n delivery is madebeyo fd the curb iine at the custom( , crcustomer representative's request, any damages including. ,l° not 11 i3ited to, sidewalks, driveways, buildings, trees, o-hrubbery, septic tanks and septic systems, including the drain fl:� id, ore at Me owner's risk. - 3, Tl r- cr. >lamer agrees to reirnDl urso said Company for loss of time and equipment by reason of such delivery, and aloe to 'ndernr'ry ano save harmless said Company from any and all claims, demands and suits for or on account of or In any manner caused by or arising from pr'vate driveway delivery 4. Customer acknowledges that all mateelal and services sho�vn have been received, that truck times shown are correct, an thatthe amount of water added at the customer's request is shown correctly. CAUTION: The addition of water reduces concrete strength and durability, o. We are not esponsibleforfirishedresultsobtainedfromthisload ofconcrete; many importantfactorsatfsctingthe. uirimate' quality o. f the completed job are beyond our scope of responnbifity and controJS £, A cttarg;. of $+.Q3 par mi rule 5viil be sharked aftEr 8 minutr«;, pa r c.tbic ya s r !oa ir,? nme ? exceecpd. 7. T`^.e customer agrees to provide a suitable Wash down facility for our trucks and tools at the place of delivery of mafariai. 8. The c_astorrer hereby agrees to pay all costs and expenses ct * o3lection, ncludi g a reasonable attorney'sfee, Jbla shn;! fail to pay for the merchandise reflected in this invoice,'vhen dwe: Fast due accounts are subject to a 1-1P2% service c urge on fine urpe'!d cast due balance. The customer hereby a noal-ices receipt of the complete copy of this coitraci. 1 1142 Water Tower Road, Laker Park FL 33403 Office 1-877-484.9994 / Fax:561-844-7102 South East Florida Division Dispatch: 561=844-9994 / Central Florida Division Dispatch: 407-339.5311 I ell„I��'�ijj m1P V,BI ifj�Cll{f I �jr{(IG j `iG I ��L�:� 7E;1!I ��d!� ��'d>�� '�dll� i�4�� tl`l ii� � Jif �� I+� • a 3 2 a 31 Concrete Tested ❑ Yes [INO LOT # F Water Added at Customer's Cylinders Taken ❑Yes [No rjequest 1 f / _-�✓gals. to full load'. Comments --- - � _ _gals,. to 213 load. - gals. to 1 /3. load' - - e , u , ; , - - ' - — - - . stomer's Rep - Water Added JOT RESPONSIBLE FOR 'WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL WATER ADDED TO THIS ARIATION IN COLOR OR Cement polymer or freshly mixed. concrete may cause skin injury. Avoid contact with' skin an wash exposed skin areas promptly with water. If any cement powder of CONCRETE WILL REDUCE ITS STRENGTH �JRFACE. DISCOLORATION - - - mixture gets into es Anse immediately and repeatedly with water and get prompt AND DURABILITY. ANY WATER ADDED IS medical attentlon, Veep children away from cement powder and all freshly mixed -' BATCH TIME k cement products. v AT CUSTOMER'S AWN RISK. Load To Job • PLANT 'TICKET# ORDER # T UCK# LOAD'$ITE' MIX - SLUMP _ DATE r CUSTOMER # - SOCDTQ -- _ P;O. # PROJECT# - DELIVERY ADDRESS -- ... 3. -... I.l {' ., .i ZONE# ,i_,�rt• fi USE' I `? � .. DRIVER ii r ) 1,. Y'- r•: i.r. INSTRUCTIONS TIME DUE - PRODUCT CODE PRODUCT DESCRIPTION 18111 x ` RECEIPT CONCREE AND ACI(NOWLEDGEMEM OF H. RD - SIGNATUREIOR WARNING —_ ---- - -- .: asc meyeC._ o ere ,00mpany wl _ ao assume ra r Ity or any property damage or any SUB -TOTAL - equ��pmenta�mage foranylr�Jeliveriesyeyontl the.curb line. TAX SHIPMENT SUBDEC'LTO CONDITIONS ON REVERSESIDE. - TOTAL l HIS DELIVERY I5 MADE SUBJECT Tn, THE FOLLOWING CONDITIONS: t . stenor agrees to prov de a suitable road way fc r ^ tru^ oar the street pave rent to the place ofde!iv?y cf nip, tara =_ li -uch s �dbleiwd'> ays are not provided, we;eser t� ;he rght co step deliveries until conditions are remedied and. in such +n: 3mer v li! ba held respci sibtE for any less aused thereat'. iJaryis made beyond the curb line att1re nusto6ner or customer representative's recfuest, any danages iicluding bo( not I +nited to, sidewalks, dr vdways, baad+ngs.. trees, shrubbery, septic tanks and septic systems, including the drsin !,e'cl a.rn a-, the mvncr's risk. Ot agrees t0 reimbur£B said vOnpHily for I.SS of tittle and Ef{.111,bri-ii:nt by i2a50n Of suchtTetlVaiy+, and a DSO to -. nrl.. mm''q and save hiarml Ss sad Conpfnty from any and Uil daims. damancs and suitS for or on a0count of Cr in any �'"'.'il:'E'r'..:lb2r=b+Qf.{ftSingfr0�T iJriVatedrivewaydeli ary., t; rnr ari E13`t lodges that alit ate ri f and fiorvice5 s". wn have been received, that truck tlnli:s shown are corfa t, an . count of wa*-er added at the customer's , ouest !s sho',vn correctly. CAUTION The addition of w6ter rec' ties ,ru'a str=ngth and duranility c... i� " y"`:"" �. rF,$r.'r�"7s}t?ie FClr fln(,^,ne:I I'eSL!it" OhYai!?f`.(f ft0'TY fil+41C7d of GtinCPetC+-; many Infl0rfarlifartvl� effCcYtngtfYe U1tI!71a':8-. ua ty c+t; e completed iota are beyond our scope of resprn;''bi!ity and controi. 6 A cn"rge of $1.00 per minute'tviil be charged after a minutes per cubic yard ur:loading tic ae is exceeded. 1e castorefer agrees to provide a suitable wash down faeliry for ourtr cks and tools at the place of delivery of r-iacear t,1. ne custornor hereby Agrees to pay all casts and expenses of cc!!ect;on, inetYading a reasonable attorneys fee: if he shaf, f iii to pay fcr the rr•orcha:dise reflected in this Invoice, when due: fast due accounts are subject to a 1-; l2% sen°ice The? unpaid past doe balance. The custorner hereby acknowtedges receipt of the com fete copy of this cone act.