HomeMy WebLinkAboutTITAN CONCRETE PAPPERS//A � 1' CaaN£ S-'�. `i F-•T,�y�a � � l , I
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' TITAN .. �� x,
F i •"•
Thank you We appreciate your:busmess ,
f4 u n 1
Materials for Life' /gyp `
;SCANNED Ticket
Crete BY.
FORTUIERCE
., PJf.LUCIe000nt} 419ry ,OELVITZ ROM) cb19y�4
FT'P3EJZCE; FL-3498
Dehvery:date
Plant
Truck
Dnver • -
Truck size Typeloti
€£h tPQ14I17
Ec$
.' s C
= ' GILL HRIST' -,6REQORx
ICustomer o
k � F�l'c75 °
Customer na e-
I k4 DAVYS 'COPJSTRUGTIOhJ CORP.
Zone -
TaxCD '
' T`-
'I
Tarmac ptgest o.
` 5 rnC �17•.
Customer P.O.no
I
Order no.
3C�$a121'
Terms code Chargedelivered 3{ D D
I /i
Time due .
t17:c
, -, {'.,
'2{harge PO.Bd", 4COD E0:&
'",
Delrvery,rt•.rpie,arft2add*ass R 0ATS"'F1Q R''" 1TER '• -
iot.,.
Block `
CounTy' - I
�xT LLir t. f'9 RISC {I IERV'C
,
1 • • It
't r v1 t 3:; f.Y
Instructions `• • f � , _ s ✓ J a -
iN FRONT Ot 1lIC AIRt�LIPT ,
Slump
,
Quantity ' �'' 7' A_77iIPr0du
,.,,,,,�; _°`; .� ,i
U[M
Unit;P[ice. „,` P
WoUnt�
Load
Cumulative -
Ordered ; -1
1. ,0n;
Code_
CAcuii
Description
R46QZ.
#57
Cf`
-
t3OQDo7
FfJC SURCi'10
Lb
.8m1Z71141
Et�lURON.`*EtURCFIr
�
-
RECEIVE E �.
t:c. �-
f
� AUN.1'Z�20i1
\
{Yfl�r'~i
o� L rt�� r
N
,
Load Arrive lob siteI
I t
Start discharge •'� Flmsh discharge" Leave lobsite—Arrive plant `9.
.� ��
f
�,. -'•'
z
�; ', jJ�
• lJ . '� t'
...�• ' .
Sales t
" ..
"
•.•..: - � -
TOTAL
•; ., ,
:.a.' ;' �
;. ,:
Additional water`ad¢@d to this concrete will eeduce'its strength.'Ariy wateradded is at customer's risk.. j
Gallons of water added:' .Gallons of water. added: _ Gallons of water added: _ I. Amt of CY Retained:
CustomerApprovaP Customer Approval: - Customer Approval Customer Approval:
�Tested ' Tested properly
I
Nd: `% %'
58151
�9 -
151
'Authorized arld received by
❑ Yes f No' ❑ Yes ❑.No _
7
X ../,&Jv/ 1
Lot, Ica M -ri t'n�
Safety is a :constant state of mind with
-.`
Block. n'1�
every employee feeling,responsible - i
and empowered to act to cause him ` Address =Correct Nof Correll -
and other's to work:safely, on the belief "
that all accidents -are preventable and
that -zero incidents is the only goal.
°T17"AN
,CONCRETE . "Thank you We appreciate your business" ^
Materials for Life"
Ticket no.
g Crete FORT FIERCE
4109 SELVITZ'ROAD. c8i;943,
FT PIERCE' FL: 34982'
Delivery date lPlant Truc
k Driver fit. ` Trucksize Type'job
rZr�+/Zt++/1? -! 628- 34ci1-• I4ACK, JAMES C 1,1.A& SLAB O
Customer Customer na e - Zone Tax CD
'�0001275' I K DAV-IS CONSTP.UCTI014;CORP I I T
Tarmac:proecj ❑❑o„
Customer P.O. no.
Order no.
Terms code q-Char a delivered 3{.O.p.
�2{harge F.O.B. •4_C.O.D-F.O.B.
Time due
- I` e1, I
Delivery nirTnRr9,tdi1ss BOATS FORT PIERCE
Lot
Block
County,
3901 ST LUCIE BLVD, FORT PIERCE
Instructions r ,art r vi ,qSlump -
IN FRONT OF THE, AIRPORT. I 5. 0i
-t'Froduct_
7U/M
,
Unitprice�t�Amount
_,•:.
Load ,Cumulative
Ordered .Code Description
11e10
27 1:00 271 00 CAPt5R106000 ##57
CY
I
L)O, _ ' SOL7 007 FUEL SURCHS
LD
f.'Zt0
8012014 ENVIRON'SURC'NG:
'.LD'-
.a .
.d°0j
Arrivejobsife,T.. - l5taridischargge f shh dischargeLeave job site' :Arrive plant
-,. 4
'Load '
.� �i .4��! �J Y�s'•-� � � , -
Subtotal
Sales ta�C
�
77 +-l.J
Additional water added -,to this concrete will'reduce its'strength.-Any water added is at customer's risk. s I
Gallons of water added:_ Gallons of water added: — Gallons of water added: _ I Amt of CY Retained -
Customer
;Approv Customer Approval: Customer Approval: Customer Approval: -
.Tested Testedproperly "
Na.y'} �q(
75�7? 50
Authorized nd receive 6y i
❑Yes No ❑Yes ❑No
I
ix 1 I
Z Lot: .. 0 [tea �
` I
I Safety is a constant state of mind, with{ '
every employee feeling responsible Block-.—
and empowered to act to cause him Address: correct Not Correct
and others to work safely, on the belief
that all accidents are preventable and
that zero incidents is the only goal. !
col�eclFz�rE "Thank you We. appreciate your businessill-
Material
l§ for Life"
r - Ticket no..,
aa Crete : 4 FORT PIERCE
r/ 4199 BELVITZ ROAD 201�38'
FT PIERCE,- FL,34982
Delivery date 4 lPlant ITruck Driver Truck size Type job
1. 04'f04/17 828' ` 14E13 HATCHER JRt,_JE5SSj 1'1.21 5LAB Ot
'Customer no., Customer name Zone Tax CD
92Yt34�12?5 I _ R 1: I?AVP5 CON.STRUCTIQIV CORP •L, t..
r
Tarmac project no. Customer P.O. no.. - Orden k' - Terms code Time due
i_ - t{harge delivered 3-C.O.D. I. 37k7317 .I _. `9083QI I ,HhxrgeF.O.B.` 4COD-F.O.B. - 07;27
Delive name and address
j ry - - PURSU�
PE.. Ty
I.Lot __ Block- Coun„.
39.01ST LLUCIE BLVD, FORT PIERCE
Instructions FROM SR, 70 s GO RORTH "CN:125TH t TL ST LUCIE ALVi7.:9 jOB 1.S slump
Ii•i FRONT OF -THE . I RPORT'. ' 5.0(
00 Z'e�
CY
' 1.0td SolgD07 .FUEL SURfHG.., LD
1. 2111 809014 ENV I RON SURCHG' LD
I
If417 JJG�i .19�3 . I
L,4,yY{y 4 M t .I:. Rron i
;Load Arnve jobsitet�° Start discharge" Finish discharge Leave job site' • Arrive plant i
i
' '- r' " •<. Subtotal �
Additional water'added toAis concrete will 'reduce its strength. Any water added is at customer's risk.
Gallons of water added: - ',Gallons of water added: Gallons of water added: _ I Amt of CY Retained:
Customer Approval: Customer Approval: Customer Approval: Customer Approval:
Tested Tested properly No. ' :.,y Authorizrd nd received by " I
❑ Yes No ❑ Yes ❑ No �- . �5 8.714 5 x u
Lot:
Safety is,a constant state of mind, with
every employee feeling responsible Block:
and empowered to act to cause him' address: Correa Not Correct
and others to work safely, on the belief i ,
that all accidents are preventable and
,that zero incidents is the only goal.
00 , CAt BOR101G0' 0 457 - '
. TAN
TIr? S
.: c®�cQzIETE "Thank you We ;appreciate your business
Materials for Life'
•� .T Ticket no..
gr . crate FORT �,�RCE .;.s
✓ FORT
SELVITZ ROAD.,, . ?81933
FT PIERCE, FL 4G8[3 "
Delivery date Plant Truck V Driver ' Truck size, Toe.job
0 i•/01;/ 1 r . II 6 8,_ II ik' JOLLY; JASON 11. eL Sl_AR OP
Customer 70�ef:_K ICustomernae K DAVIS CONSTRUCTION CARP - Zone _ Tax CD „ T.
Tarmac prolgst ncr Customer P.O. no. - Order no. Terms code Time due
I Charge delivered 3-C.O.D. 17 90830 I �i- CnE:4@
3-Charge P.O.B. 4CA.1) -F.O.B. j
Delivery n a d, ddress - .' Lot . Block County, �iJr�SI,r11 BOATS FORT PIERCE
3901 ST LUCIE,BLVD. FORT PIERCE
/Instructions ' •' u a .� a ¢, , _ -, , c.,.., , ', y 5�.o�, a u L t V U s J Slump
IN FRONT OF THE AIRPORT . - . 5, hti
Quantity. 7--..-...-__._.__ —y—-71:IProduc _�— Unitprice.jAmount �
Load, r, -Cumulative Ordered Code Description
11. 00 227, 00 242 00 CAM5R106000 *57 CY
1. 00 BID. J07 FUEL SURCHG LID
1. L0 80ft 014 ENV I RON SURCHO Ll i
Vf AID
,FOF I PIERCE M i
1-7
(Load - Arrivejob site.•- Start discharge ""• Finish discharge Leave rob site Arrive plant " -
• 1
• - , ..• .subtotal I
Additional water added to this concrete will reduce its strength: Any water added is at customer's risk.
'Gallons of water added:_ Gallons of water added: _ Gallons of water added:— I Amtof CY Retained:
i
Customer Approval: Customer Approval: Customer Approval: Customer Approval.
Tested " •' Tested properly . -No. - 11 Authorized and received by '
❑ Yes ❑ No ❑ Yes ❑ No . I " Ix
-
I
I
Safety, is a constant state of mind,'with
r every employee feeling responsible
and mpowered to act to cause him
and o�hers to work safely on the.belief'
that all accidents are preventable and
` that zero incidents is the only goal.
y
• coc�zea E Thank y <We appreciate your,business"
Materials for Life y
„ �9�� Ticketno i
grc ete.l FORT i?YERCE s
4
413�5 SEL IJYTTROAI}
S FT RIEFCG, S l 134362
'Delivery size T date plant truck Dnver .. ' Truck Type job
04/04/17' 628 ' I4,I4 WRIBHT,, ehaYt40ND 1'1: Vic, SLAB Ot
Customer no r Customer name - Zone �.�� Tax CDC
91Ij0�1�7$ I R K. DAVIS CdN5TRUCTION CORP I T'
iannac prole¢ n 7 7 -
{
tu5tomer Y.U. no. •
Order no. '
r: 9 �83Q
Terms code ]{har9e delivered 3 C O.D;
Time due -
;
,
I I2{ha'r: E0.9. .4C 0.0-F,O.B.
tDeliveryp 50diress BOATS FORT,GIERCE-
Lot
B�
County
J501 ST L UCIE BLVD, FORT FIERCE
I Instructions FROM S ,- Y tit ,:GO NOR 1 ?1 Oil CU I H, 1 L. S I r—OUCIE35LEJD % S ., slump i
IN FRONT`OF-THE.AIRPORT 5.0�
;Quantity � _:, : .. � -•. S
�� _ 17,
� Produ � ti , -, , „ .:' "- >. .. � �..:.,
HE
Unitry price: ^;
� Amount 'm
Load ,• , •. ;
Cumulative Ordered Code Description _
1.1.
XI, 11.00 242 00' CA1185R106Q100 .05-7
CY
804007 ,'FUFL SURCHG
LD;
1.
�0' 0�0itF `ENVIRON SL)RCHG•
LD,
V
- 00fd4
7-01 r- APR 4 p41;?,1�
:r
i
[Load
Arnvejob site' - Start discharge Finish discharge ;I't Leave lob situ Arrive plant,
-
- -
I
�
Subfotal
-l
t
I
vaamonal water added to this concrete,w u reduce its strength. Any water added is at customer's risk. '
Gallons of water added:_ Gallons of,water added:_ Gallons of water added: Amt of CY Retained:
'Customer Approval: Customer Approval: Customer Approval: - II Customer Approval:.
Tested Tested properly ` ' No.' ' " ' - Authorize nd receive% by
❑ Yes ❑ No ❑ Yes ❑ No - I t 8 7 � Q' X• q -
Safety is a constant state of mind, With
every employee feeling responsible .
' and empowered to act to cause him,
and others to work'safely,'on the belief
-that all accidents are preventable and
that zero incidents is the only goal. ,
Lot:
.Block: '
Address: Correct
Not, Correll
TITAN y
coiNcRimE "Thank you IN Aa Oreoate yolbr business"
Materials for L fe` Ticket
no
gr Crete . �- �--
r ItT oPIERCE ,
r� 4199 SELVITLZ ROAD r.' E81917
FT PIERCE,, FL 34982 ''
Delivery;date IIplan! Truck .Driver Truck size Type'ob
j
MA ta/ � r-' - - t � � stl�ttnt:�Z;TGnrAr�nQ '< � r ct�'�n ' '
Customer no Customer name .Zone Tax CD t
�t710dIS,E75 I R -'K I AUT( hf^,•mir.TTrlhi rfiRP - - .I- _ _ 7i
Tarmac project no. Customer P.O.. no. Order no. ITermS code l-Charge delivered 3-C.O.D.
. Time due
r.'. 7r�t?t%-• - I . .rn �� `�;{Aarge F.O.B. 4{O.D -F.O.B.
Delivery name and, address ,-( - •` - Lot Block County I
PURSUIT BOATS. -FORT -PIERCE
3901 :ST LUCIE ,BL• VD, FORT PIERCE
Instructions _ FROM SR 70 t GO NORTH ON 25TH e TL ST LUCIE. BLVD. i.. JOB'IS (slump: `.
IN FRONT OF THE AIRPDRT. S. kl
aVau .. :a.uin,upve, �ooe - uescription. ..
11: )0 E S. 00' 242 00 CAh B5R 106000 #R57 CY
2.'D6 802007 FUEL SURCHG La " -
lr 00, ",60=2014 - ENVIRON-'SURCHG LTA'
Loaa'� �:���1� 1)Wjob site (Start discharge JFinish discharge Leavejob site Arrive_plant - - {
R� r'6d,`.i i7 CydFr',, li 0Tlj{.t
Sales tax. 1
TOTAL . ' i
Additional water Oded to this concrete will reduce its strength. Any water added is at customer's risk.
Gallons of water added: — Gallons of water added: — Gallons of water added: I Amt of CY-Retained:
:Customer Approval:. Customer Approval: - Customer Approval: _ 'Customer A.pj:gyal:
Tested Tested properly No., {9 Authori 'end re5 ved by err
JD Yes No ❑ Yes ❑ No. I 4 •,_° X. - L/
Lot:
Safety is a constant state of mind, with
everyemployee feeling responsible Block:, '
and empowered to act to cause hlm , Address -' correct Not correct • '
and others to vvork safely; on the belief
.,
that all accidents are preventable and
thatzero incidents is the only goal.
4-
Tf'TAN'=
GOr_dCStETE "Thank,you ' We- appreciate your business" —
Material's for Life" �`y Ticket no.,
7) p ��ri.L7 A
gr crOtt' FORT'PIERCE
i
'�n ';4199 SELVITZ ROAD 281925 '
FT PIERCE, i FL 34980
Delivery date Plan! ITruck ' Driver •' Truck size Type job
_
04/04/17 628 131�8 GILCHRIST,; LDUANE'. i.00 SLAB Ot
Customer no. Customer name - - Zone ITax CD
90t7�01, 75 I R k DAVIS CONSTRUCTION CORP T1
Tarmac projeR no.
Customer P.O. no. ',
Order no.
Terms code t{hargede'ivered 3 C O.D.
Time due i
37id31'
130830
I' I�harge F.01. 4C00-F.0.11.
QI'J' C3,6 �
Deliverygame and address _
Lot'-.
Block- -
County_ f
PURSUIT BOAT5'f=ORT PIERCE•
3901 ST.:LUCIE-BLVD, FORT, PIERCE
1ST
Instructions FROM SR'70! , 60 'NORTH ON E5TH t TL LUCIE BLVD -� JOB IS
slump.
_IN' FRONT OF. THE AIRPORT
5.0i
i
Quantity _ i�ProduR••.
'T,R
: z-": z-` 'r � �,
ume'
C tpriprice
Amount —'
_
Load •-
,Cumulative : ,.-Ordered
'-'•Code
Description
11.
2+Q , 1'a
1, 0Ch -242
00 CArB5R106600
#57
Cv
80I22107
FUEL SURCHG . "
LD
1.'Z+0
8Tl!Z+14
ENVIRON'5URCH6
L.D -
:.
,.
F0F
T PIERCE RM
LoadI
Arrive job site
start discharge
Finish discharge -Leave
jobsite
Arrive planC -
-
U�
..
subtotal
•Sales
(,` . � �
� ,�
(r � �
-
tax'
-
I�
Additional water added to this concrete will reduce its strengtti. Any water added is at customer's risk.
I
Gallons of water added:_ Gallons of water added: Gallons of water added: _ Amt of CY Retained: _
Customer Approval: Customer Approval: Customer Approval: I Customer Approval: r -
Tested - Testea properly _ No. ' /-/� Authorized and received by
:,Yes QNo ❑Yes,❑No I _ �713` IX58
'
Safety is'a constant state of mind, with
every employee feeling- responsible ,
--and empowered to act to cause him
and others to work safely,'on the belief'
that all accidents are preventable and
lthat zero incidents is the only goal.
Lot:
block;
_
. I
Address:
I ..
Correct Not Correct
// TITAN
CONCRETE; p '!Thank you 1Ne aF
Materials for Lfel r
late your business"
t "4 en,
no
r�/7,ceeN SFD PEj,1,,..,,ke.E
41`S LVITZ:RDRD 281422
u �y _ FT k.ERCE, FL_•.34982',
Deliverytlate Plant Truck Driver Truk size
Typejob
04frty47`).7 628 . 1S b ` 7_EiLINSKI9' FOBER7 il`. �4
SLF1L'Qf
Customer no :. �: ",
Customer name , . zone. Tax CD '
n000127,5
I R K DRVIS CDNSTRUCTIUPJ CtJR' I TE
Customer P.O. nor Order no. - - Terms code t-Charge delivered 3{ o.D: Time due' `
Tarmac project rio. -._
�' 37d3F7
9d830 ., I, ;I QiSe'lr.
3{harge F.O.B. 6-CO.D-F.O.B.
,
Delivery name and address
.Lot '
Rlock
County
PURSUIT BOATS FORT PIERCE
....
3901 ST LLICIE.BLVD, FORT. PIERCE
�70
•IS
f
i
jInstructions - PROD SR GQ 'NORTH ON SSTH TL ST LUCIE BLVD S0B }.
slump I
r , ,
III N-.F.'RONT OF: THE'f1�I,Rr�-QRT': .. •.
5.tll
_,._
}Quantity
ProductY -M�� .. - ' _�
una
Unitpric
Amount'.,
Load ,
Cumulative-. o
Ordered
Code'•
Description -
-
i - ,•1'f,t7Qt
- '1Q8
`00 242
00 'GFInE35R10Er04'l45
#P57 '' ,
CY-_'..
1,00
-
80Q
0Qe7 :. FUEL SURCHS
LD. '•
.1.
6
8012014
ENV I-RON SURCHG-
f
LD '
(I[ :pH� �a'H
11 E hTUiJ
t
•Arrive
I
(Load
Amivejob site
startdischarge,•
Finish discharge
Leavejob site.
plant'--
-' -
'��
�1= Y0
'
Sales tax'
!
•
.
TOTAL-
1
Additional water added to this concrtwil Tr' duce its strength. Any water added is at customer's risk.
Gallons of water added:_ Gallons of water a ell: Gallons of water added: _ Amt of CY Retained:
Customer Approval; Customer Approval: Customer Approval: Customer Approval:
I
,Tested'- - Tested properly
No. - 7 rvg7
I 1 2
Authorized an{eceived by -'
❑ Yes ❑ No ❑Yes ❑ No
- P ° v
Lot: r l
Safety is a constant•state of mind, with,
i every employee feeling respensible ' Block. ' t '
' and empowered to act to cause him '
Address: Correll Not Correll
and others to work safely,'on the belief
Ithat all accidents are preventable and
'that zero incidents is the only goal..
use
// CONCRETE ,
Materials for Life° '
r � CrJ.
ete
"Thank'you We: -appreciate your business" `.
f . i e
Ticket no.
k` .FORT PIERCE'
-4199 SELVITZ ROAD .81`537
F T o.I ERCEq, ' FL 34982.'.
Delivery date i, - . .'
Plant-
Truck'
IIDriver '' ^ "'
Truck size Type
Job
04/04/17.
628
131I8
-GII_CHRISf,= DUANE
11.0
SLAB 01
I
LCurtomer no.
90raw1i275
customer da a
I. EY Y, DAVIS CONSTRUCTION CORP'
Zone
, - Tax CD
I 1
Tarmac pro, ¢ o-h
-.y/ +817
.Customer P.O. no. -
I - .. ,
Order no. Terms code Charge delivered 3-C.O.D. .
,' 90830 I 12.{Farge F.O.B. 4CoD-F.O.B..
T_fine due
Il( 71a.
1
.,T PIERCE' - •
Delivery n ��"I dr ss"FORT
lei s:
Lot
Block
County
.3901 ST LUCIE BLVD, FORT PIERCE
{
Instructions C Mull�'N q �' - t n f. rc� r . o c. c_ u' r p ✓ u - .0
;,IN FRONT. OF THE ,ArPPORT
Slu'dip .
5.0�
I
t
r_ �� -.� f
(Quantity 7 -
Pro'dv'du ,.��.'; I-'---•"-
� ,�... -' �.���
UiM.
NW
Unit pnceAmount.T-��{
-
Load I .
Cumulative;
Ordered,
Code
Description,-
1.1.
00 '24
3. 00,- 260
00 CAn
85R106000. #57
CY
1.
00 ,,
801Z
Z07 FUEL SURCHS
LD
8017-314--
ENVIRON SURCHO
LD..
r,
FOX. T
PIERCE RM
-
iLoad
�Arnvejob site r},
Start discharge
Finish discharge
teavejob Site'
Arrive plant "'
37,
i7 ,:
subtotal
�
�.
• nr+�t
.
TOTAL
; Z
Additional water added to this concrete will reduce its strength. Any water added is at customer's risk.
Gallons of water added: Gallons of water added: Gallons of water added:_ Amt of CY Retained:
I Customer Approval: Customer Approval: Customer Approval: I Customer Approvab
'Tested Tested properly No: �j $� Q �/ /d� Authorlie and received by - I
Yes Q ❑Yes Q No . I i V ti fY (X 1
Lot:
Safety is a constant state of mind, with ' `n
every employee feeling responsible Block;
` . and empowered to act to cause him address: correct Not, correct
and others to vvor'k safely, on the belief
that all accidents are preventable and
that zero incidents is the only goal.. i
� TITAN
C®WCfLETE
Materials for Life°,
gr crete -_.
"Thank.you -We appreciate your business".
• - .Ticket no.
FORT PIERCE
4199'9EI_VIT7_ ROADT 281934
FT:PIERCE�. FL.' 3498 ;
Deivery.-sate =plant
Truck
DrMer •' <� -
Truck sae
Type job
104/04'/17.
628
15°16
ZEIL.INSKI, ROt ERT
11. 0
• SLAB OI
i
Customer no Customer name - - -'. Zone Tax CD
"'90001275 I R,N DAVIS CONSTRUGTIAN.CORP"' TI
.Tarmac project o� Customer P.O. no. Order no. .Terms code Time due '
j 1-Charge delivered 3{O.D. I16..1FS•
_ChaO.B 2rge F:. 4-CO.D -F.03.
'Delivery naKnS� a dr s
Pf BOATS FORT PIERCE
Lot
County
3901.ST LUCIE BLVD, FORT PIERCE
flock3J
I
,1n5trUCtioDS. 1• tt r VJ'. GO MORMON slump i
IN FRONT- OF THE AIRPORT 5.14
j
rProduct,.... -.."- r., ", ,, , . _.. _ ',l.
Um
Unit price, S'
Amount •-',��' _�
Load
.Cumulative, ',
Ordered
Code , '.
Description-
_1 V:
00 2--
8. 00 253,00
_ GAP
135R10E:000 # 67
Otf
i•.
00
80e
0,07 FUEL SURCNG
LD "
1;
0 ,
S'N
014 ENVZ RON SURCHG'
LD
1
' ?13� J3
A id[l3 '
'Load
Arnvefob site ',
kartd¢charge ',
Finish discharge
.Leave jobsite
Arrive plant
.,,
'L/ a,
- r�a
(���
�%
/ •as
Subtotal
Sales tax
-
f
'
• -
TOTAL
I
Aclitional water a ed to this"'concrete will reduce its'strength. Ariy water added is at customer's risk.
,Gallons of water added: . Gallons of water added: Gallons of water added: _ Amiof CY Retained:
'Customer Approval 'Customer Approval[ Customer Approval: Customer Approval: _ I
Tested • Tested'properly
No.
75
Authorized and ceived by 1
❑ Yes No ❑Yes. ❑ No
8 7I41 .
X
1 ;7
„� _ -
Safety, is.a.constant5tate of mind, with
4very. employee feeling.respbnsible
and empowered to act to cause him
andothers to work safely, on the belief
that all accidents are.preventable and
that zero incidents is the only goal.
- Lot:_
Block-.' '.
Address: Correll
Not -Correct
01
e®r�ctaEaE "Th'ank you Vile appre. date,your
Materials• for Life° , '
1011
grncrete FORT-.PIER-,E.'
4199 SELVI-i'-Z-' 16AD
`FT' PIERCES FL -34952
' S
business�1�
.Ticket no. _
w •l.ti G61932.
Delivery date . •
@4/2+4'/17
'
plant Truck
bcS 13Q
Dnver. ' .
0 _. GILCHRIST� GREGO
`Zone
Truck srze Type
1@e @
job •
SLR$ 01
C'us(omer no
v@@@'1275
CurtoFnenna a
I K •D,AVIS .COi+ISTRUCTION CORP
Tax CD
T'
Tarmac prgg q,•
3 ��17 .,
customer PO. no.
I .,,
Order no.
908319
Terms code .
I {harge delivered 3-C.O.D.
Time due
Ir16; 32
-,
'2-Char6e F.O.B. 4-C.0.1)-F.O.B.
_ I
Delivery n r ss
BOATS FORT -PIERCE '`
Lot �.
Block
County I
3901 ST LUCIE BLVD, FORT PIERCE
C• •, , ' '-'
•Slump
Instructions t SP �. �... r . , iz E
Ii� ,FRONT OF THE AIRPORT _ _
'
S. @i
ILF
�
— _•
� �jJProduct,,,
Qua tify
-
-._ - �,�
l)%Mi
Unit�prce� JAmount
Load:
cumulative'_
Ordered ',•
Code
Description
-
10.
oo, 21c:
00 242
00 CAS
SRIOEQ,0 0 #i57
CY
I
'3`d
Z aQ
0p7 FUEL SURGHG. .
LD
1.AO,
60122014'
ENV IRON,SURCHG
.
i
,.
'nr,34 T01
I
t
i APR a AVIG: "!
'
.F9 .T
PIERCE RH I
_
Load ' , Arrive job site Start discharge' --
Finish tlisch5rge •
Leave job site -
Arrive plant -
'
� .., tl, f r• . � j a. � - ' Cj � .
t
..
Subtotal
sales tax
_ �
-
f . �. ,-, .
, .
TOTAL +,
• . i
Additional water added to this concrete will reduce its strength. Any water added' is at customer's risk.
Gallons of water added: Gallons of water added: _ Gallons of water added: Amt of CY Retained:
Customer Approv l: Customer Approval: Customer Approval: Customer Approval:
I
,Tested•' 'Tested properly 'I
No.
Authorized and received by -
Q�Yes No ---., ❑Yes ❑ No'�8.7
13 9
X1,4
Lot: P• ' , i• v. :�117
Safety is a constant state of mrrid, with ' f i
'every employee feelirig'responsible • : , block.
and empowered to act to,cause him
Address:: Correct Not Correct
and others to work safely�•on the belief _
that all accidents are preventable and l
that zero incidents is the only goal.
c�evcrY��E !7hank,you 4 e appreciate your business
Materials for Life'
, Ticketno.
g cre�►e F;ORT..FIERCE.,:
419 SELVI.TZ -ROAD - ^c81931
t FT IERCE, FL ,34982 ;
Deliverydate`
Plant
ITruck
Driver
Truck sizes Typejob
,
04/04%17
Eyc8 -
14�1-
'MACK, , JAMES• CT , .
11. 0
SLAB CI
Customer no
90001'c'75
.Customer name `-
I,: R'K DAVIS CONSTRUCTION CORD
Zane r _ -
Tax CD i
r
Tarmac prcje po
Customer P.O. no.
,
Order no..
R(�83�
Terms code
I Charge delivered 3COD.
Time duel i
QlGe'2�F I
" l i Charge EO.B. 4C 0 D-BO.B.'
4
y�rl
Delivery name pyatldrej"ss BOATS- FORT PIERCE -
UL
ioi , :Block
., .
County
3901 ST LUCIE BLVD, FORT PIERCE"
Instructions r rt , IY P. L! . GJ n q L 01 L. , J 1 O
'
slum P
I N, FRONT OF THE , A;I RPOR7
5 Oi
I
" r- —
£ ,. � ,7_� ProduR � - - _ � u/M;
Umt price , � Amount
Load,
.Cumulative. Ordered Code Description ,.
.�
2Q5:,00 842 00 -:CAIti B5R106000 #kbr
C'Y
1,
00 8012007 "FUEL. S6RCHG
LD
1.a0
BOQ114 ENV 'IRON�SURCHG
LD
i
;
vbvr.9a1.�.B3
- 1�Uj
c s siw 8dH 2
TOTL"'soo..
e ,
1
-
Arrive jobsite' � ... discharge. Finish discharge Leave job site .. Arrive plant
iLoad
•.✓�.. � h _ -
Subtotal
S
•,
Sales tax
Auuitionat wale oaea to trills concrete will reduce its strength. Any water added is at customer's risk.
Gallons of water ded:_ Gallons of water added: _ Gallons of water added: _ Amt of CV Retained: '
Customer App> vale Customer Approval: Customer Approval: I Customer Approval:
Tested �/ ' Tested properly
I No,
758
��
I Authorized and received by
I
YoNo Yes ❑ No-
Q❑
1
X
1
Lot:
r.
4
Safety is a, constant state of mind, with
every.,employee fee'ling.resp lnsible ;:
Block;'
and empowered to act to cause him
address
and others to work safely on the belief'-
correct Not;correct
that all accidents are
�4
preventable and
that zero incidents is the only goal.
i
•
I
ui} - ..
_�/ CONCRETE
Materials for Life'
g r�.crete .
:"Thank you We appreciate your business"
_ - - Ticketno. ..
FORT,'P,IERCE-• f
4199t'SELVIT2 ROAD 281530
FTP-4fRCE, FL 34982
Delivery date
lPlant
Truck
Driver : -
Truck size
Type job
04 y04Y17
, 628
' 444
MOHR,; JEFF>'
11. 01
SLRB OP
;Customer no.,
Customer name '-
-.Zone•.
ax
TCD
90(b0k75
I R K. DAVZS.'CfoNSTRUCTION CORP
Ti
Mrmacproje'no.
:74:17.
Customer PO no. -
,...
Order no.I_9QaLO
.I
Tens cdIe)=-CChaarige delved D.
Tie due
m
geF.D.B. 4-00.oF,63.
t�E•16
joelivery.MM'dIrerss-BOATS' FORT -PIERCE _
.
Lot t. ,.
Block, _ -
County, -
3901 ST LUGIE BLVD9 FORT PIERCE`
„r,
'Instructions FRO1.1 5R 0. y 3 rs ON 1H -T t 57 tZUS ate.
,IN, FRONT OF -.THE AIRPORT
a.,,y. _ "'� Slump
5.0I
{Quantity rn _7 11Product
- '^�
ADescription
.""j
i Load-. r,
Cumulative Ordered' Lode„
11:
ao 1 _ 5. 00 00 CAl\ BSR 10S000 #57
Cy
.242
BQQ 307 FUEL SURCH6
LD '
1.00
13 0 12014 ENVIRQN SURCHS
LD
003n r,+
I7 P-IPRA AM5 d,31
FOR
PIERCE f?
Arnvejobsite.' Start discharge ' Finish'discharge " Leave job site Artive
plant
-
I"
'Load
_
�j�
subtotal
j
Additional water added to this concrete will reduce its strength. Any water added is at customer's risk.
Gallons of water added:_ Gallonsof water added; _ Gallons of water added: _ I Amt of CY Retained:
,CustomerApproval: Customer Approval: Customer Approval: Custooller Approval:
Tested _'„ Tested properly I No: �j' % Autho and i iv y
❑ayes';�❑'No. ❑Yes No, G �'S'i 1aJ
❑ X
s Lot: 1
Safety is a constant state of mind; with ' FIT
every employee'feeling responsible . ' Block R
and empowered to act to cause him
Address: Correll .. Not Correct
and others to work'safely"on the belief
that all accidents are preventable and
that zero incidents -is the only goal.
TITAN
CONCRETE
Materials fora Life°
gr '�.Crete
"Thank you We -appreciate your business"W
Tlcketno,
-
FORT, FIERCE..
4;399,'SELJITL ROAD. 2-81929-
T OIER'E FL '?,4982
i
Delivery,date 1 plant Truck IDriver Truck size T e ob '
434/24Y17 628 -13.J4 r' DEPiNO, WILLIAM 10.:012 yP j' ,3LAR 01
Customer
909Qi7:-075
Customer
"R K "GAMS CONSTRUCTIGN 'CURP
Zone
Tax CD
Tarmac project no:
Curtomer P.O. no. - - -
Order no.
Terms code I -Charge eelivered 3 C.O.D.
2-Charge FOR 4C.O.D-F.O.B.
Time due _
OF, .Qs�_ �I
Delivery-n e d ress . ,�
BOATS FORT 'PIERCE
Lot
Block -
f' f
ounTy
09L1 ST LUCIE BLVD, FORT PIERCE-
. � ,
_ _ .. _ —
_' a R(12i_ 5
Instructions W , DN 25TH, 9 IJCr 1 C -. ,J UD 10— .Slump
IN , FRONT .OF -'THE AIRPORT
1
5.01
Quantity. -� +..
..
i�Product
, ~�:_�'�.
U/ryT
UniYprice, s'Amount-'�
Load
Cumulative -
Ordered
Code-
Descriptiod�- ,.
>.�.
'ZIO 1 .4...0m
;�42
'mm ,can
BSRi aEeOO �s7 ,
Cy
II
Zee
8012007-
FUEL. SURCHG
LD•,
1 ,71t1'
13Q
214 EIyV I RON SURCHG
LD
I
002;
D 17 APR! 0 Am-5,3
R RT
PIERCE RM
Arrjve job site'
Start dscharge
Finish discharge
Leavejob site
Arrive plant
..
1
,TOTAL
!added
..
Additional waterto this concrete will reduce its strength. Any water added is at customer's risk.,'' j
I Gallons of water added:_ Gallons of water: added: Gallons of water added: Amt of CY Retained:
_ _ I
(.Customer Approval:- Customer Approval: Customer Approval'. Customer Ap. &
l.Tested -- - -- • Tested properly •' , ''
No. •- ' "
7.3 6
Authorite a ed by
Yes No ❑ Yes ❑ Np75`
❑ ❑
I
-.
'
Lot Lt [i
Safety is a constant state of mind, with
every' employee feeling responsible , Block
.and empowered to act to cause him ' Address: Correct Not Correct
:on
and others to work safely, the belief 'f
that all accidents are preventable and i
that zero incidents is the only goal.
CONCRETE' : °Thank yOU. We appreciate;your'bu'siness'
Materials for Life'
Ticket no.,
g, r Cre#e FORT "PIE kCE:
+199 LVI7Z' ROAD d819c^.ES
FT 'PI, 'EE, _ F.L.' 34` 82 '
Delivery date plant Truck Driver I Truck sae Type job
04/04G 17 - "^ 628 13f�1 GUEVAREZ' EDGARDO ' ' 1.1': 0 = - SL"AS' 01
customer no.
90001c75
Customer name --
R DAVIS 'CONSTRUCTION CORP
Zone
Tax CD +
T!
Tarmac prd�eit no.
7Q131.7
Customer P.O. no.
I -
Order no.
9083rZ1 .
Terms code �-Charge delivered 3-C.O.D.
I
L , ]-Charge F.0.8, 4{'0 D-F.O.R.
Time due
-
i� a� d
Delivery na11Lt
Lot,
Block
County '
bu;adgre;s BOATS FORT PIERCE
ll
3901 ST LUCIE SLVD, FORT PIERCE
i
..,
GGO
±S,lump
Instructions 14 SR 70, ! 251 r! , - L-11.' Lv at_F 'ram/
..I FRONT. OF-THE''GIRPORT. S.OI
f Quantity , : ° ,__- , : -; . -, - ' - •i
� Product .
-
Load.
Cumulative Ordered '. Code, Description -
I
'11,
20' 17 —00 2412 00 CAf 135RYI£000 #57 -
CV.
1.
'?0 SOC -307 FUEL SURCHG
LD
i
1.3Qi
80Q'D14 ENVTRON SURCHG
LID
Load
.Arrive job site Start discharge ' finish discharge' Leave job site Arrive plant -
A'13�?13c
i�i0'i `
sutitotal
I
l
Additional water added to this concrete will reduce its strength. Any water added is at customer's risk. -
1 .
Gallons of water added: = ''Gallons of water added: _ -Gallons of water added:—Amt of CY Retained: 1
1 Customer Approval . Customer Approval: Customer Approval: I Customer Approval:
Tested "Tested properly _ ' '
No. %
I
!9
Authorized and received by
LJ Yes ❑ No ❑ Yes ❑ No
1
.7 'I
X "
Safety is a constant state of mind; with
"every_employee-feeling responsible
and empowered to act to cause him
and others to work'safe'ly,'on the belief
that all accidents are preventable and
that zero incidents is the only goal,_
to
Block.
Address:. Correct
NoUCorrect., ',
_�/ COIVCiPZETE "Thank yolk `We `appreciate your business"
Materials for Life"
Ticket no '
rcrete FORT PIERCE
c .419,9 :. ELviTz ROAD ' ._81927
FT PIERCE; --FL• 34982
Delivery tlate. "Plant-
,' °
Truck
Driver " c -'
Truck size
Type job'
64 /QfyF% 17
628
1 iEl5
CI4ER, . DOUGL AS '
Y-T.., @
SL' AB OI
Customer. no
9@@@1c75
Curtomer name ,Y - -
I R K DAVIB 'CONSTRUCTION CORP._"
Zone -
Tax CD
Tl
Tarmac protect no. ,
37@317:
Customer PO no. _
OrdeYno.
Terms code 77_Charge
delivered 3-C.O.D.
Time due '
,
<, , l'.
8@531j
I /i-
Charge F.D. a. C-C.D.D-..os.
.05:52
Delivery name and -address .Lot Block County
PURSUIT BORTS-FORT PIERCE
39:11 ST. LUI;IE PLVA,, FORT PIERCE_
- e - _ ..},
instructions- - Fh PH 10 K I H. Otq 25 T H, ,t L` b''I• L tt 13L_VU , ,.UN 1 Slump - 1
. , IN FRONT dF-THE-.AIRPORT 5. lzl;
Q tY ,-, ,d I Product . , :ciemt u,,,, 7' t ...�T-I ulM� Umt price Amount
Load •. , i Cumulative Ordered �, .Code Description :
11 ''Do"L' "1E3.00.242'06 •CAIIBS0106000 #57 CY '
DO `• 601Z R07 FUEL SURCHB - LD I
SlQ.T14 ENVIRON SURCHO..'
!l.oa-d _ Arrive job site '• hart dmharge" Finish discharge Leave job site Arrive plant -. _-
P Subtotal i
TOTAL - I
4ddit oval water`added td this concrete will 'reduce its strength. Any'water added is at customers risk,', LI
,Gallons of water add Gallons of water added: = Gallons of water. added: = - Amtof CY Retained: t ,
;Curtomer ApprovalC I
Custorner Approval Customer, . Customer roval:
Tested proerly
pp%14
Authorized rid r eived by
Qjested
No❑No
❑ ❑
y.; . , .. -•
I
_ _
Lot:
Safety Is a, Constant state of mind with
every employee feeling.responsible Block. = °`� a I
and empowered to act to cause him 1
_
Address . Forted -Not Correct
and others to work'safely,'on the belief
that all accidents are preventable and
that zero incidents is the only goal. ,
TITAN
Co1VCf2ETE "Thanky'ou Vllappreciate your business
Materials for Life
• Y ,
' .]� Q Q - s Ticket no
gj
i xFORT
et@ IERCE
�+ 4199.'SELVITZ,;ROAD 2$19kE
FT P IRCEy " FL,. 34982. i
Delivery date plant Truck,, I Driver « .° Truck size Type jdb t
04/04/1?' 6E8 ' 1?tE3 IATCHER JR, "JE59I 11.:04 SCAB 01
CuL
Custome- ' t rno omer na}ne - =` ` Zdne. Tax CD'
90001t7,5 - R'K DAVIS CONSTRUCUON CORP, Tj
Tarmac project no. Customer P.O.no. Order no. Terms code Time due
delivered 3-C D P..�.
ice;" 1j'Charge •
—_ .:170317 - - 4i._ ' .90$30 I I }-Char9e F.O.B.. 4 C O D -F.O.B. IS:a. i{4 1
De livery name and address Lot.. ,. Block bounty".
PURSUIT LFORT FIERCE
3901 UCIE Sl LUCIE HLVDT. FORT GIERL,E -
Instructions .- FROM SR 70 1 -G0- NORTH ON 25TH t TL ST LUCIE PLVD, e. JOB I'S slump- - -�
IN i=RONT OF. THE AIRPORT ' d' S.01
-
oduct. ,,
Load :-'- ;yCumulative�l
Ordered - Code _ - Description'
11
'aCi " 1 06'1242 06 "CAA 5RiL415000' if57
CY. '
1.
ele• 801Z Zj07 - FUEL .SURCHG •
L.D. -
1.
210 801c 314 ENVIRON SURCHG -
LU'
I
I:SW t7 � &L.
tit 9700
Arriveio6site Sfartdrscharge ' finish discharge. leavejob site Arrive plan{
Load
.
• -
Subtotal
'Sales tax
MuuRwnGl waver dugea io ims concrete win reauce Its strengtn. Any water aaaea Is at customers nsrc. j
(Gallons of water added: .Gallons of water added: _ Gallons of water added:._ I Amt of:CY Retained:
t{tis}omer Approval: .. -Customer Approval: Customer Approval: Customer Approval: -
TAsted Tested properly No.' -y'rvy= y' Authorized and received by
❑ Yes' ❑ No Q Yes ❑ No I i wa•�Q 7"3 3 I X
Lot:
Sty is a constant state of mind,,-with....19
Block.
Safety
everyemployee feeling responsible '
and empowered to act to cadse him. Addrerss Correct Not Correll
and others to work'safely, on the belief
' that all accidents are preventable and !
that zero incidents is the only goal.
p 1'i s 1...
%� CONCRETE ". ''T' k you ri We appreciate -your business" -
Materials for Life"
FORT ' PIERCE
41�99 `SELVITZ- RQ16b" `
t FT'•' -PIERCE, FL 34982
:Deliverydate Plant Truck Driver •; - Truck size
04/04/17 628 14_4 WRIGHT,.,RRYMOND: .i.1.��{
,Customer no. Customer name - 'Zone '
90001275 I R K -DRVIS CONSTRUCTIOIV CORP
Tarmac project no. - Customer P.O. no. _ Order no. Terms code i rn
i-Charge delivered 3 C O.D. L
t5 /�c"t317 - Iv - �Jt�JP30 I �I-Charge F0.6. 4-CO.D:F.O.B.
Delivery name and address
' PURSUIT PORTS FORT FIERCE
3901 ST LUCIE PLVD} FORT PIEP,CE
nnstructions FROM SR 70 t GO NORTH.. ON 25TH P TL•ST LUCIE RLVD t JOB IS
i IN FRONT OF THE AIRPORT
job
e
I
05- _'8 I
County `I
i
j
rmp° i
5, 01
I
I
muantrry a �r�.• ,.l l:Product :::;;.... ,a,.._. . � , -f .-: ' LuM I Unit price: , I pAmount
;Load Cumulative Ordered Code - Description
11. 141 10. 00 24� 00 CAN B5R i 06000 #57 • CY,
1. 210 8OR 007 FUEL SURCHG LD
'1. ala 8012c11.4 ENVIP.ON SURCHG LD002
Ff T PIERCE R
i
• I
i
k
,Load Arrivejohsite - -Start discharge Finish discharge Leavejob site Arrive plant
I
I subtotal {
TOTAL E
Additional water added to this concrete will reduce its strength. Any water added is at customer's risk__ I
Gallonsof water added:_ •Gallons of water added: Gallons of water added: — I Amt of CY Retained:
Customer Approval: Customer Approval: Customer Approval Customer Approval: i
Tested Tested properly No.
% Q de Authorize nd received by
Yes ❑ No. .. O Yes ❑ No I S• V .6..�1.� I X
.4i
Safety, is a constant state of mind, with
every employee feeling responsible
and empowered to act to cause him
and others to work safely, on the belief
that all accidents are preventable and
that zero incidents is the only goal..'
Lot:
'Block:
Address: Correct
Not Correct
(:I ICTr1MFR r'nDV
TITAN
//" CONCRETE "Thank :appreciaieyour business''
Materials'for Life
Ticket no - f
g. Crete �. a. FraRTI
; 4199 SE1 hTZ ROAD 2_8192,3
"'. Ft PIERCE, FL 34982
ER L,
i
Delivery�datIe ' ' Plant Truck Driver - Truck size Type.job _
04/0�/.17 628 , u 141�2 PAYOUTE, LEINTZ_ I,' , 1i.014 BLAB of
Customer no. .
,Customer name -
"CO4TRLICTION
Zone;',,. --.
Tax CD.
90VIt�1127 ;
R K DAVIS 'CORP.
°T
Tarmac protect no.
Customer PO,no. -
Order no.
Terms code 7Lharge,ds:Inered 3 C 0 b `'
Time Clue'
' .:7¢I:, 17
I _
g�83
L I CNrge 6O,R! 4-CA F0.6.
Delivery name and address ,,.. ,. - .. _ .' - - Lot 'j Block „ CounTy,,
S�
PURSIT BOATS PIERCE
3S01U
ST LUCIE.:PLVD,FORT PIERCE i
'
Instructions FROM SR 70 Oo NORTH ON 25TH TL ST LUCIE BLVD 't, -JOB IS
slum ;
P
s.
"IN FRONT OF~THE'AIRPORf.
5.01
Quantity _:, ,,• 771
'Product
UfM
Unit price l
ount :, , r
Load �r ,• �-Cumulative,
- ;+
Ordered
Code -
Description
11;
p000 119.
0242
00 CAt`
B5R.106000
C ;
1.
00 •
_
8012
_#57
007 FUEL SURCH(3
1.
he
SOC
e 14 ENV I RON SIJRCHS
L'D 'c
4
6026
17.APRA PNIA
R RT
PIERCE RM
I
RStartdischarge
,Arrive.plant
_
r r
Load
Amvejob'site
Finish discharge
Ceavelob site
--'+
- - I
f
7p
�
'
.✓
. ,
TOTAL
i
Additional water a ed to this concrete will reduce its strerigth. Any water added is at customer's risk.
1 Gallons of water added: Gallons of water added: _' Gallons of water added: — Amt of.CY Retained: '
Customer Approval: Customer Approval: Customer Approval: Customer Approval:
I
'Tested - Tested properly
No. 7 sppsy� �/pAu
rzed and rff�c)ewed by ,. -
Q Yes,�No Yes �NoIA
✓`•+l "Y
.. Lot:HEN
Safety is a ,constant state of mind with
every employee feeling responsible Block:
and empowered to act to cause him,address: '.
,correct Not Correct,-:
I and others to work'safely, on the belief 11
that all accidents are preventable and
that zero incidents -is the only goal. I
TITAN
wit.
"Thank,you",Me appreciate yp4r, business"
'Materials for Life'
I,! 4_1
Ticket no
Crete
ile
FART
ORT PIERCE
-
4199 -SELrQ LTZ ROAD
26 19PI:
'FT''PiERCE.' FL.,34982'
Deli.very date j I
I Truck
Truck size Type job
3bi�rvei
04/04/- 1 14JOLLY,.JA"113'ON SLAB' 01
—1 ' ; , .1
Customer';,,, Customer name 2: Zone T CD
Tax
73 Ri K DAVIS -CONSTRUCT RP TI
Tarmac proje ct no I Customer P.O. no. Order no. ITenTsoqde I{hargedefhir,d. 3-C.0'D_' Time due
-370311
41-ChargeF.G.B. 05-04
Delivery name and address
count
PURGU'IT BOATS FORT PIERCE
3901 _ST LUCIE B_L9D, FORT PIERCE'
Instructions
FROM 'SR 70 s (30 "NORTH, ON '25TH a TL STLUC I E BLVD' JOB is Slump
9
INIFIRION-f OF THE -AIRPO T�' 5.01
71
uct
7_7, 7771qqjUn—itir'2e7111
��ount`__"]
Load,
Cumulative,'
Ordered
Code
Description
00 C
242
00 QP11',
B5RI06000. #57
Cy-,
8012
007 FUEL'SURCHG
2le
80112
2114 ENVIRON S(ACHO
00118 ,
'q-, APP
P1F _kt
'Load
Amve job site, _
StartBisiharge'
4inish'discha7ge
.Leave job site.•
Arrive plant '-
I
V L I I I InLl ULU Will reume its sirengin. Any waxer aaaea is at customer's risk.
Gallons of waferadded:— Gallons of water added: Gallons of water added: Amt of CY Retained:
'Customer Approval: stomer Approval:
Tested Customer Approval; Customer Approval: Cu
TL�stea properly
. sted No.' Authorized and received by
Yes ❑ No Yes _Ej No 7, 8 IY
;Safety is a constant state of mind; with
every employee feeling responsible,,
and empowered to act to cause him"
and others to work saifely, on the b6lief
that all accidents are preventable and
that zero incidents is the only goal. '
Lot:
Block:
-Address:,, Correct
Not, Correct
7
L
TITAN , ai
C®NCRETE 4,ri"Thank yo �Ne'appreciate your. business"
Materials for Life 7?'I`
t
�, k*
,Lcketno
�rciete a' ; FORT GIEFsCE' Y Gmr
' .:... 4197 SELV.I72•'ROAD a 281"920.
`. FT --'PIERCE, FL .34982
DeliJery,date •, +'
plant - [Truck
[Driver " -�
Truck size '
Type job ,
04/04't7
6�8 l?l
13l@
^ GILCHP,ISTs `SRc60Ri:.
„ 9(g,@
SLAB
Customer no
Customer name _
I
Zone .]Tax
CD .
9@@@t'fi75
R'K DAVIS CONSTRUCTION CORP''"
T
Tarmac protect rio.
Customer P.O. no. Order no.. . -
code t Charge delivered 3-C OO.,
_.
Timedue i
37CR317 -'I
.. 5083@
ITenns
t-Charge F.O.B.- 4-COD-'F0 B.'
[,
Deliverynameand add ress -,' ,-. ,-' •. _ Lot L"Block• CounTy i
..._ - .
PURSUIT BOATS FORT GIERCc -
3901 ST LUGIE BLUD, FORT GIERCE
In FROM SR 70'. GO NORTH ON 25TH s TL ST' 1LUCIE 'BLVD s JOB .IS Slump
IN t RPNT. OF THE AIRPORT 5.0i
i
Quantity
�':, ,•:'{.'
, - —71P
oduR
r,; .-=1
Unrt price
Load
.Cumulative i,
Ordered
Code
Description
C�0 242
00 CAR
R5R 10E IM0 ' 057
Cy
> "•i.
oo
8@Q0@7`
FUEL-SURCHS
LD
E
50Q014
ENVIRON SUFCHS
LD
"
FO
RM j
_TI'EkC�
II
_
r.
iLoad
Arrive'Jo6`site
I startdischarge "
Finish' discharge ''
Leave job site ' `
'Arrive plant' ' I. "
_
', - •
, ,G
';?.
'�
�
5 ' • .DD
�I
... r
i
,.
,, �
, •
Subtotal
'Sales tax
I
1 ' 0
r-;J •C
,
-
TOTAL r
I
i
+uuMutnar water a eu to tnis concrete win reauce its strengtn. Any water added is at customer's risk. -
Gallons of water.added: Gallons of water added: _ Gallons of water added: _ I •Amt of CY Retained;
kustomer Approval: Customer Approval: Customer Approval: Customer Aooroval: i
Tested Tested properly 'I No. -ll., % Authorized and received by i
QYes No Yes ❑No�'8�.Lr X - i
Lot: m
Safety Is a constant state of mind, wits;
every'employee feeling responsible clock
and empowered to act to cause him Address Coned Not Correct
and others to work safely, on the belief {
that all accidents are preventable and {
that zero incidents is the only goal.
I
rI.ISTnnn RR-rtloV
j
IYALN' 'k
;CONCRETE 7bahk you We appreciate your business''
Materials forlife-
Ticket no.
0
FORTrPiWl"Ee g"nCrete ,
.:'i 4�199 S90iiT ROAD
FT PIERCE, FL' 34982
Delivery date
Plant, ruck V? r, ruck size TiPe job
wr 4] Dri L
1 4 1 Y.J Fr!'AR ill
04 t714 17 F;�A I _ rmnHg, TFFF7
Customer no. Customer name Z9,ne e, ]TuCl)
71
9OJ7 .5. - R V. DAVIS r6Nc;TRyr.TTnN cr.)RP T
;Tarmac project no. Customer P.O.no. Order Terms code 1-Ch.rge delivered 3-C.O.D. Time due -
� P
Q,830 1 -04!4A
737b3l'7 [Order no I 2-charge'F.0.13. '*4-C.0.D,-F0.& i
:Dellve:rydame and address Lot
County
PURSUIT BOATS FORT PIERCE
fl
3901 'S T LUCIE BLVD, FORT PIERCE
Instructions 7
FROM SR 70 , SO NORTH ON 25TH slump
TL sT LUCIE IBI-vla JOB is
1
I f lkONT-OF'THE AIRPORT 5.6
-7-1 1`i3-�'d-uct--7777-7-7�----i 151w
Umt rice Gi;uni
I Load Cumulative Ordered Code Description
- S. 00 ;R 42 00 CAE B5RI0612400 #S7 CY
00
80Q007 FUEL SURCHIS LD
800014 tiqu I RON SURCHG
Fli T PFERCE Rm
Load - Amve loti site start discharge Fmsh discharge Leave lob site Arrive plant '
" Sales tax
' TOTAL
Additional wateradded to this concrete will reduce its strength. Any water added is at customer's risk.
Gailbnsofwater added:— Gallons of water added: — Gall8ns of water added; Amt of CY Retained:
Customer Approval:_ Customer Approval; — Customer Approval: 'Customer Approval:
Tested Tested properly No. Authorized and received by
(i Yes L) No IYes 0 No 1587126 Ix
M S
afky�E',.�ti constant state of mind, with
e-
vOry'penoldyee feeling- responsible
and empowered to act to cause him'
and others to work safely, on the belief
that all accidents are preventable and
that zero incidents is the only goal.
Lot:
Block
Address: Correct
r,511p
W 5WIF590" WMA
Not Correct
-- — -- ---- -- . n1 =n6co-nnom— —.
; TITAN
C®1VCRETE "Thanl�y6u We appreciate your business"
Materials for, UW _ •
r
Ticket no I
i. t "
Y - 4u, FORT. PIERCE-- J °t 4199'S*1QITZ ROAD 281918 ; i
'n 7., FT 1 P1 CE. " FL 34982 i
Delivery date Flant ver
(ITruck. ` IDnf Truck size �Typejob�'
04 1041117 I 6=•❑ L +,U' ^cFtLMn HILL rant t" 1J1
Customer no - - t , l Customer name , - _ Zone. - '., (�Tax CD
nra�h0 t o7s ti v nANrc CtJR'STF'JCLTOn! �'Rn, ' . �T;
(Tarmac project no I Customer P.O. no.. Order no. I Terms code t Charge delivered 3 C o.D. Time due -
,Charge EO.B. 4CD.ti-EO.B,'
Delivery namaddress' ; Lot Block CounTy,
PURSUIT BOATS FORT FIERCE' !
3901 ST`LUCIE BLVD, FORT PIERCE (
;Instructions - - - -
FROM SR •70 , GO. NORTH .ON 25T,H• , TL ST"LUCIE BLVD ', 3OB 'TS - slump
-IN FR NT ,OF THE ATR.PORT N
-� ......... w=1_u c.oue - uescnption -
10, ONE 5. 00 242 00 ' CAh 26R1060041 ' #157 . CY i
1, O SOQ007 FUEL SURCHIS LD,
1-_ soeoi4 ENVIRON•SURCHG LD.
FC RT PIERCE PH I
,LoadArrivejob'site' Startdischarge Finish discharge Leave job site Arrive plant ! '
- TOTAL
4dditional water added to this concrete will reduce its strength. Any water added is at customer's risk.
'Gallons of water added:._ Gallons of water added: _ Gallons of water added: _ Amt of CY Retained:
Customer. Approval: Customer Approval: Customer Approval. - I Custdmer Approval:=
Tested " Tested properly
,Yes "Q No LJ Yes ❑ No,
-
Safety is a constant -state of mind, with
'every.employee feeling responsible"
and empowered to act to cause him
' and others to work safely, on the belief
that all accidents are preventable and
that zero incidents'is the only goal.
5:871 ?5'
TITAN . � . ,' � "� •'
CONCRETE f "Thank you WeD. preciate your business"
Materials for Life'
Ticket no
i
g Mncrete F a'' " FORT PIE CE
4199-'SELVITZ ROAD r91916
t FT `P I ERCIF7 3498E . ' ;
;Delivery date (Plant - (Truck (Driver ' Truck size Type job i
04. 11Zb 1 �! — �E1F nCrirp� T}QI I I � a I 9 T( r
,Customer no., I Customer name , , Zone • ' Tax CD i
` ammrT1c79 P N WANTS rnhjGTralirrTnnF rna❑ I T.
'Tarmac project no I Customer P.O. no. Order no. Terms code 1-Charge delivered r3 c O D. Time'due
7rni�j7 - q yr I 4;-Char6eF.02. 4-COD-F.O.B.
fijl, . `r4 i
(Delivery name and address Lot r >.Slock. county 1
PURSUIT BOATS FORT PIERCE '!
3901 S7" LUCRE. BLVD, FORT PIERCE I' 1
IjnstruRions `FROM �SR•,.70 , GO NORTH ON c`STH`, , TL ST LLfCTE ALVD„_ rOB IS Slump -
j IN FRONT OF THE AIRPQRT. 5,0
1,1
Fuantity _A._ , 7—
.: r+ ��� U/M: Unit price E Amount —.
;Load - I cumulative. , j Ordered 1 Code . 1 Description
4 4: 00 242 00
s ,
Cy
LD
LD
SIC _
FOR
iLoad .• Arrive job site- - Startdischarge Finish discharge - Leave job site Arriveplam: '
I
i -
Subtotal
Sales tax
TOTAL
35RIO6000 #57
D07 'FUEL SURCHG
D14 ENVIRON SURCHG
pdditiorial water added to this concrete will reduce its strength. Any water added is at custorneCs risk
Gallons of water added:— _ Gallons of water added: _ Gallons of water added: _ I Amt of CY Retained:
,iescep - Tested properly
Yes Q No ❑ Yes "•Q No
No., Authorized and received by
J.��� X
;Safety is a constant state of mind, with
every employee feeling• responsible
and empowered to act to cause him;
and others to work safely, on the Relief
that all accidents are preventable and
that zero incidents is the only goal.
u
Lot:
Biocl".
Address: Correct— -----Not.Cortect_,�
.7 l PR tl Am`9:4a
PIERGE RM
i
G �&
coaVertE�� "Thank:you We appreciate yourbusiness"
Materials for Life Ticket no. t
g cretd r ��
o e FOR t P�.IERCE ;
F 41-9 LVITZ ROAD, g81915
' FT " 1 R6E� ' FL ?4982
Dellvery-tlate Plant Truck• v DrP��{er - Truck srze Type job I
I ,
Customer no Customer name_,,'zoe
l
Tax CD
.�ct TL`i
no. . on:15V _
Tarmac project no ; I Customer P.O. no. i 'Ofdef no. , ;
(Terms cod; t-Charge delivered 3:C O.D. Tune'due I
;-Charge F.O.B. 4C O.P -F.O.B.• i
Delivery aname:and eBdressi - - `• - -- ' -
_ _ .... - � . . .
Lot. - Block r •, County. y
PURSUIT BOATS FORT PIERCE,,
I
3901' ST LUCIE 13LVD, FORT 6'IERCE
-
Instructions -
FROM'SP, 70 GO NORTH ON 25TH: 1' TL ST
-
LUCIE JOH.IS
Slump •'
l!!
�_
,RLVD,-t,
IN FRONT OF'THE AIRPORT' 15:0j
i
lQuantity , - ;.. .,
Product., - 7, �. ,wl 7.. � „- '
.r,
u/ivt`,
Unit, rice + :
P v
_-Amo.,
unt -"'-��
j Load,
Cumulative.
Ordered
Code
Description
. 1.1.
00 _
3. 0121 242
'00
CAM511106000
#57 i
Cy
1,.
-80122107
FUEL, SURCHO
,
LD,,
1;
NI
Br1cQD14.
ENViROPI SURCNG
LI7
,.
i5'tWaiy�,jU-
r071-, ,
',Load .'
•ArrivejobsiteStart discharge `• Finish discharge" ': Leave job site •' Arrive plant
'
�_ I
,
i
I
�
�
�.
�
,Sales tax _
1
-
•.C�
TOTAL
I
Additional water added to this`concrete will reduce its sfrengtfi.'Any water added is at customer's risk. i
Gallons of water added: -Gallons of water added: _
Customer Approval: Customer Approval:
Gallons. of water adde�: _
I Amt of CY Retained
Customer Approval:
Customer Approval:
Tested Tested properly -
I No,
pq' pp 7
Authorize d received by I
0 Yes No Q Yes ❑ No
❑
Lot:. ' '
Safety Is a constant,'tate of mind, with
1`
every employee feeling responsible,
Blpck
J
and empowered to act to cause him '
Address ;1
Correct
and others to work safely, on the belief
, Not Correll
that, all accidents are preventable and
r�
that zero incidents is the only goal.
nl leTrnnnoo nnov' _ .
�..
:1
)
�/ COAI�ItETE
"Thank you
We'app'reciate your business"
I
M
Materials for Life
I
l-.
Ti cket no.
Cf
ete
A a
FORT ,�+ERCE
Tsic' LVITZ ROAD
281914
j :.FT
r El ,'FL 345380 '
Delivery.date
plant
'F�Driver
6
1. 1.
size, Type job
(Truck
(Truck
r ,�-
iCustomer no I Custome`r'name- Tax CD
Jk"-li'ie?d F!—P'�l�T—S—•'�-Th-'E""T�Bi� f'2 ^ r
iTarmacprolect Customer PO no Order no; �. ` Terms code 7 Charge delivered 3-C.O.D.
Time due i
�'�tz�i',r .•• I., ,.72ir a� I Lhar9e F.O.B.: 4-C.OD-F.OB. J rno i
(Delivery name and address ' - Lot Block 'v County
I PURSUIT $OAl-S FORT PIERCE 44 . ys
3901 ST LUCIE�$LVD.-FORT FIERCE =
llnstrucoons - - 'Slump
FROM SR 70 60 NORTH:ON 25TFr ,s'TL ET LUCIE $LVj) .� JOB dS
IN FRONT OF THE AIRPORT
Product; ,:iv".1 r< <,•v , --. _ u/M; Unit.price. •�1'Amount .
,Load Cumulative 'Ordered Code Description , -
ii:Q)o c2.00 242 00 CA1,$5RIrg6000 ##37 CY
1.00 809 00"FUEL SURCHS - LD
802 014 , ENV. RON SURCHG, -S. LD
i.
1 i
' 1-7 �tFR ,t aM3,2
T: F T PIERCE RM I
4
Load Arrive job site.' Start discharge Finish'discharge Leave job site, Arrive plant - I
h �
' Sales tax
TOTAL
kdditi—ona� r added to this concrete will reduce its strength. Any water -added is at customers risk. ,I
Gallons of water added: _43- G Ilons�f water added GallJs of water added:Amtof CY Retained: '
Customer Approvab. Customer Approval Customer Approval I Customer ADdroval: I
(Tested "Tested properly
Yes No U Yes ❑ No
ti Safety,is,a constant state of mind,''with
every employee feeling responsible
and empowered to act to cause him and others to work safely, on the belief
that all accidents are preventable and
that zero incidents is the only goal. .
`8 7121
Lot:
Block:
Address: Correct
,and received by
J
It r
Not Correll
n
J
cl IcrnnnGR r nov