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Home My WebLink AboutCONCRETE PAPERS� 1 ULZW ��g P 11.42 Water Tower Road, Lake Park FL 33403 Office:1-877-84-9994 / Fax:561-844-7102 South East Ficida Division Dispatch: 561-844-9994 / Central Florida Division Dispatch: 407.339-5311 Teted ❑ Yes ❑No LOT # Water Added atCustomer'sylinders liken ❑ Yes ❑ No Request [Concrete sei�wNED gals. to full load gals. to 2/3 load mments BY gals. to 1/3 load Customer'sRep- Water Added St I imip County - NOT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL WATER ADDED TO THIS VARIATION IN COLOR OR Cement polymer or freshly mixed concrete may cause skin Injury. Avoid contact with skin and wash exposed: skin areas promptly with water. If any cement powder or CONCRETE WILL: REDUCE: ITS STRENGTH SURFACE. DISCOLORATION mixture gets' Into eyes, rinse Immediately and repeatedly with water and get prompt medical attention. Keep or ildren away from cement powder and all freshly mixed AND DURABILITY. ANY WATER ADDED IS OWN RISK. 9ATCH 71Mf� � cement products. AT CUSTOMER'S Load To Job Begin Pour Begin Wash To Plant At Plant PLANT TICKET# ORDER# TRUCH# WAD SIZE MIX SLUMP DATE. CUSTOMER A SOLD TO P.O.# PROJECT# DELIVERY ADDRESS - ZONE# ' • ` USE DRIVER - INSTRUCTIONS' TIME DUE •� ••PRODUCT DESCRIPTION•AMOUNT RECEI ED: 7••� JAN 3 2019 5 Lucle Count; Ferrtti<Cing SIGNATURE - OR RECEIPT: - NCRETE'AND ACKNOWL"GEMENr OFHAZARO.WARNING asc mey�ej�� oncre e' ompany Wr ne assume la I I orgrope_ amageor any SUBTOTAL equipmentWagefor any deliveries beyond the curb line. = —� TAX AUTHORIZED By SHIBME T SUBJECT T0 CONDITIONS ON. REVERSE SIDE. TOTAL 4f "i+q PE : RY §€'MADE SUBJECT FO THE FLnLLD G CONDITIONS: el � f5 z� L 15t„lil c' a ..i: fC� �h:JVi::e a'.ilf[,,able roadway for Dur it,id?ls from the St(eet Ya!1eYnF nt fd thF: t� d..e C d!'. �'^ . ,CiI r';tt " a: 'o&d ay-- are not provldCdr we reserve the right to Stop deliveries lint! cand!tipn_ r;;Tfi. �.r!a;l ,^1 s;cj ?r -r ,;.'i;"r bu hela rns;JOns,Wc for any loss caUSe l thet$by. ~ ,yotfd the curb: ne at the customer or customer representative's request 'I- :vi Irk, I: 1f Ad *a ireet� frig, anveways, buildings, trees, shrubbery, septic. tanks and sop+ic sysre-rs, t a an 1 A ,:sir. ,,F,r agrees to reimburse said Company for ioss of fime and aeuipmpnt by reason of sui3ll d ., w"; q, ��.I,n,lty and save .tarmiess saidComny from any and all claims; demands and suits for ct or acc u.l I' Ir. !.r.4sedt,•yrr�rislrgf(omptiNate driveway delvary ,h , - . r uE1Orr a' t(n n-;tY'vo0,e5 flat a:l materialand SP.i ✓IcrS sPtOIh'n have t3B2n received, tn3t'ttUCl( ti!TEs SI JJ.,I art, CI( tC ? " "nr_ -!C ^+Ct!Nafe> auaeo at the ci.stCmer's request isshdwri ccirectly. CAUTIOM: The dddit:or aild durability. V, /e re n !t F4oansibre forfrnished results obtained from thrs load of eonaete; marry rmoc tairt lact'ers 'ft.a. iy O tre completed lob a-e beyond our scope of responsibility and control. a l Lt- d-r.,a C, 1. 10 u r n-g-ute tvili be charged after B minutes per cuoic yard unloaain� nrna is er sdcd 1 !. rC ^.,3t" r'7 �:�+r•P top1, v'dre a suitable Wash down fad!Ity fo, our trucks and. tanis at f iF• "'1{;,c_.^.f du'.'t y'1' I'1'-�.:.,. ',:1. iS'l n t o, , prtrc,:!,3 to pay ail cO rt arid exopnses rf ool'section, Inc, uOng a re,�a.G riab7 r , '.� 1" r 11,11 ar ! ,I !T-tah,rdisec retlectpo in this .nveice, when due, Past due account are 5, ru 'tc 1 , :a r .i3 h^ hr u-p-eld >a:it- dUe bn9 a!1ce. The CUstomer hereby aci;rlOWledge& Of fnc f`j. E. _ C'7f:y J 'r 1142 Water Tower Road, Lake Park FL 33403 I r,'rkT' a Y r Office:1-877-484-9994 /,Faic 561-844-7102 South East Florida Division Dispatch: 561-844-9994 / Central Florida Division Dispatch:: 407-339-5311 Concrete Tested ❑ Yes ❑No LOT # Water Added at Customer's Cylinders Taken ❑ Yes ❑ No Request: gals. to full load • Comments:- - gals. to 213 load. gals. to 1/3load Customers Rep - Water Added �I 1 -1 • , 1 ,:, r: _t. , :., .-� NOT RESPONSIBLE FOR WARNING IRRITATION TO THE. SKIN AND EYES ADDITIONAL WATER ADDED TO THIS' VARIATION IN COLOR OR Cementpolymer or freshly mixed concrete may cause skin Injury. Avoid contact with SURFACE DISCOLORATION skin and wash exposed skin areas promptly with water. If any cement powder or, CONCRETE WILL REDUCE ITS STRENGTH mixture gets into eyes, rinse immediately and repeatedly with water.. and get prompt, AND DURABILITY, ANY WATER ADDED 1S BATOH7WE medical attention. Keep children away from cement powder and all freshly mixed AT CUSTOMER'S OWN RISK. cement products. Load :To Job On Job To Plant At Pl,,t PLANT' - TICKET# ORDER# TRUCK'# LOAD SIZE' MIX_ - SLUMP- - DATE _ CUSTOMER# SOLDTO. P,O:# - PROJECT# ! ` DEUVERY ADDRESS ZONE# USE DRIVER Fo INSTRUCTIONS. TIME DUELOAD CUMULATIVE; ORDERED PRODUCT CODE PRODUCT DESCRIPTION U.O.M. UNIT PRICE AMOUNT QUANTITY ,SIGNATURE WARNING OR RECEI-CONCRET CKNOLEDGEMENT OF HAZARD. asc meyyyer Goncrerq Vompany wl not assume nabilay for any property damage or any WUNIZZMquipm rrpap f$-any delivpifes beyond the curb line. SUB -TOTAL 1 ( TAX, A BY _ .UTHORIZED SHIPMENT SUBJECT TO CO1 IONS ONREVERSE sl. TOTAL I hr; ;-J(S P2! #RV113MADE £:R BJECTM THE FOLL Y CON DOT90II , t I ,=rppfppSil'idcread+yay for ourtfucl(s from the .street pavementto the p'r, E' f<!'y nt proo'dod wB Y ;nerve the Tight tO 5tGTi dart"Ji?IIQS until co,d ttor:;t orG b', he`id resttt;n..iD'e for any foss cause c thereby. } -. t r.,Q1', doi 1 „.y dine cure Vne at the custemeror cQstotT rir r:presentaY;vr"S iBIjU{',fr, an, r1we iftl. '.•a4.{; r,- t,.1t n:;; 1 ^'rtC.n Tti, io`i,: ra.,iid., Mi, ve; va js, buildings� troes, shrubbery, sept c tanks and septic Sy st -,ns. ,r'.f.r .^_j�r.., i•:_'1, l• s V. arc --It tt,,c 74''liar's risk. agrees m reirribur se &aid company for lose of time and equipment by reason of 5:.'ch da;ivten r1r, ,, lu >nln ) anal save i,t m;.: s,iatd Compar yfrorn any andall claims, demand, and suits for or ur, w-cl- "t Ij c, s nr?r^2'rraIJ c, ad by or3 _41nirt fiorn bri JatJ driveway delivery, "f n r' <,ecm^rac!cnocf e that all materiaiandservices shown 'lave been recelved,that truck times sYc'.;n=rl3c7fr nv., Ti.1✓a oJ'ir of :Ja7P✓t added at the GUrtomor'S request {ashown correctly. CAUTION: Tic addition ofrrr�r :oncraie; <tr onoM and durabi!it✓. lV 1Vo are results obtained front this toad of concrete: m2nvi,,n]orianttlf'ol"s;aflFX"t11",'J t1L'tz wra,f' 1, it „y „f t e comp!cteu job ane beyond cur scopeof tesponsibility and control. ui £ a ;•1- rt !tit .M ^'+r minute vjT Ion charged after 8 minutes per cubic yard unload - i �I hh r„Jseo'71Cr aorF`E's to proviwe a ,unable wash down `aril ty for our'trucKs and toois 5t ter place )t (J SA,: r v �� -4,11 F.. Vr r rl ("t1:,t') _ r he=ECnr pgm - s'to cay ai costs and' t'7Fperrses of collection, inct lding r3 rLB: c 1 ,'. Ei IJr Tllu, ;--rt.l lu l refiected In,ttils invoice, when due: Pas, due accounts :ire 6:11"ife.,t Q d f 4' !' : .q.,I unf1?' io^'.ynr,5t tit.?c i7aian%'£.Th4'@UStOmO:fiE'.teby ackrAlYlE?djfrS feGeipt t7f tflQ CtimDic:'E•cr'il".,: ,?f TI rl^^;..•.>:::. „r V; • rr, 6j II n9 Ei3 qa ili 1 _-i FLORIDA,MASCHME. ER - F., A CONCRETE COMPANY OF 1142 Water Tower Road, Lake Park FL 33403 Office:1-877-484=9994 1 Fax:561-844-7102 South East Florida. Division Dispatch: 561.844.9994 1 Central Florida Division Dispatch. 407-339.5311' Concrete Tested ❑Yes ❑No LOT# Water Added at Customer's Cylinders Taken ❑ Yes ❑ No /' 'R at gals. to full load Comments gals. to'213 load, „ ^ gals; to 113 load - Customer's Rep - Water Added NOT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL WATER ADDED TO THIS VARIATION IN COLOR OR Cement polymer or freshly mixed concrete may cause skin injury. Avoid contact with. skin a, ash wash exposed skin areas promptly with water. If any cement powder or -- - - CONCRETE WILL REDUCE ITS STRENGTH SURFACE DISCOLORATION - mixture into eyes, rinse Immediately, and repeatedly with water and get prompt medicalattention. Keep children away from cement powder and, all, freshly :mixed AND DURABILITY. ANY WATER ADDED IS AT CUSTOMER'S OWN RISK. BATCHTIME - .. cement Products. )b Begin Pour Beg -in Wash To Plant At Plant '.I PLANT 'TICKETk ORDER# TRUGK# LOA 'SIZE .MIX SLUMP DATE L - CUST6MER W' SpLUTO. - - -- - P:O:,# PROJECTp P DELIVERY AppRESS - - ZONE# USE - DRIVER- - - - INSTRUCTIONS TIME DUE ,. -in PRODUCT CODE PRODUCT DESCRIPTION • • _ SIGNATURE OR RECEIPT- CONCRETE A.D ACKNOWLEDGEMENT OF HA] D'WARMING .:mascrurneyer Concrqro � ompany willno assume ra I I or any prope_ amage or any SUB -TOTAL equipment damage for any deliveries beyond the curb line. Z 'L, TAX AUTHORIZED By SHIPMENT UBJECT'TO CONDI I IO ,N'Rt VERSE SIDE.- TOTAL , „ 1. i ` II� t�tfS PLL, 3Y 15 MADE SUBJECT YO THE FOLLOI ; Ci NDIT?ONS6 {! provide �i su tahie'rr�iao "lay for our 1rucks from the street pavement to Tile place W.Cfd•iY�r�' {t� u ` . .. i 3urDuif, rca..j. ova a,,2liit. provid9d, we reserve tf)e right to stop de;,i leS ulcon(itons ar<'. .'..j ,} , . Fr 141 be he!d re rortSl bla for any toss caused thereby. .t. '. fir, cdY3 1 very la dla'°F1 b..yo;nd the curb line at the cWutomer or Customer representativil I'f.quest, any dai >qtE„-2rll'X l. [ ,:- i ill'1 t C1 sG 'a! vvf,,'i a, d'rvevvays, buildings, trees, shrubbery, septic tanks and septic sys'erria. ` ckidlilq c �-1 �''.. T e Gl —c„ to rein ikiurse said Company for loss of time anfl equipment by reason of such CEN iun..r¢,h�C flu [il. o '(J Jew,,lriiy tn(j ;;aYe r, armless .aid Company from any and all claims, demands and wits for or on accc) 1, off-" Tl?'('.�': n3uScn t7y G�arlS'(I{rfIUr7l prlO+atE driU'G4viiy C7@iiyeCy. � � , it r ;stot:In(dt r i-�o`r:te;yes fhat c^ll material and services shown have been received, that vul times Shc'wvrr a e ,;(, re,-.: .. halts; } s 0'• t 'i i , tE' en o I. t � va ar �d,.cd at the eustorier's iectG;est is shown correctly: CAJ7"iCrN: Thaaddit,n of r( u ,:> �c °r tei anJdu,ab:iity. -leare notresponsirale for finished resuits obta;r5ed from this load of c',r1n©rete, m3rcy important fact ors f c' {h-^irq:Aeted job are beyond our scope of responsibiii,y and control. Y 4 A c r .rye u' $ ,.bo p T mr:rte :vi!; be charges after S minute, per e abic yard un din tide iS er ee:dec ! ",C% n.cp ci;^e., tc. N"Uv d,_ a S{•;<.!at±l@ !^1ar�h daYv�'t facility fur our iru C al d C✓cf',� ae the}wle;Ir I r C'Jr_i., F,t t ilor'.'d t'J Uay all rlosts and exper' oz of col;eclion, in iud.'ng a tPas`n.ih!T it; o ,( j' LL 4 'i l pay f(I'"the nl "Aa"^_i' e rliflected In this i n v l When due: Past Due nts are su ht to a I1 ° i7 p. �t du4� f)d�1nCe.. f I"1E CUsfG!'T1er her etly cC;ICnobVledq�s P'yy',e':pt C+f fhe Cofnt ICE? GCp1' . r! _:i�':'. 1;1 ,I nl 1 l• i 1, J N , - 1 .,�-, t A01= 1142 Water Tower Road, Lake Park FL 33403 W r' '' `` Office: 1-877-484-9994 / Fax: 561.844-7102 South East Florida Division rDispatch: 561-844-9994 / Central Florida Division Dispatch' 407-339-5311 Concrete. Tested 0 Yes ❑No LOT #_ Water Added at Customer's. Cylinders Taken I] Yes ONO Request -gals. to full load: Comments- :gals. to 2/3 load. to 113 load - - - - .. r:T .gals. Customer's Rep -Water Added NOT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL WATER ADDED TO'THIS VARIATION IN COLOR OR Cement polymer or freshly mixed concrete may causeskin injury. Avoid contact with DISCOLORATION skin and wash exposed. skin areas promptly with water. If any cement powder or CONCRETE WILL REDUCE ITS STRENGTH .SURFACE mixture gets Into eyes, nhso immediately and repeatedly with water and got prompt. AND DURABILITY. ANY WATER ADDED IS BATCH TIME. „ , medical attention Keep children away from cement powder and all. freshly mixed cement products. AT CUSTOMER'S OWN RISK; PLANT TICKET# ORDER N. TRUCK # LOADSIZE MIX SLUMP' DATE rr.� u, T •l f!'1 1.1 ��11 1 .1 'Il 1 ' A ._ YI.,.'.•.n CUSTOMEfl# SOLD TO. P.D., - PROJECT, DELIVERY ADDRESS ZONE4 USE DRIVER INSTRUCTIONS Time DU PRODUCT CODE PRODUCT DESCRIPTION U.0.10, UNIT PRICE AMOUNT ' „ '' i. 4„ 111 � tl„ SIGNATURE WARNING ORRECEIPT a CCN NET A ACKNO CEDGEMENT OF HAZARD asc meyer one a any wr not assume liability for:any property damage or any SUB -TOTAL - equipment di f-,deny olivories beyond the curb line, TAX AUTHORIZED BY. SHIPMENT' UBJECTTO CONDITIONS O. EVE3$E SIDE; - TOTAL 11 I : GEfi Y 13 hVADF SUBJECT TO ME FOLLOV CSINMT&ONI�: Q nars.n' x Aic) 110P!ov;dEid. V"p the (Ight to iscop dslovnties;)N�'! ar, i!i no no W Fur a r y nw,,caus�ed Oereby, riiwn,myn WAG, Was, shwbb0q, CAM 'f- ct;III'- sld CcMpaiiyw Wss WAle and 891pi:enity w,t;on 4LI " i o it c"11' 5��'j �;rl�ylpany imm any and aH chirng, demands and sum Oran un gwo W 'r at 2A ai aridsenm,e,,� shown have been mcoved thd trocx hme, shGr- 1,0 01 L' Wer AdId at the cuonmerl request ij shown xin-ecAy. CAUTION' T! ea(;,aQ:o - i 0jc on Mad Maas abinked tool this load of concrete many irnprlria-a fact,}. �v C'i:!no;etnd bb art, :)eyv'I{1 our scope of wspons:lbilFf , and coniro! 4 p. de a WldrCtivahuawn fiact+Ity anc !,)a io cay all srdexoz�nses ofccilec�horf' 1rchjdi!,g % "'ilbF. x',for; - n 'W pay ' ?a wonyqn0v rf�dleG:Po ii- tnis invoa,e, Lrvho,) Clue. Past CUO SOCOUMS Fill SWUM 11 1- 4 ah o, p, -Is ; :Wlue baince. 11 x. N ilom 1142 Water Tower Road, Lake Park FL 33403 Office:1-877-484=9994 1 Fax:561-844-7102 South East Florida Division Dispatch: 561-844-9994 / Central Florida Division Dispatch:407-339-5311 Concrete Tested ❑ Yes ❑ No LOT # Water Added at Customer's Cylinders Taken ❑ Yes ❑ No Request gals. to full load Comments gals.,to 213 load gals. to 1/3 load Customer's Rep • Water Added .,-ri•-�, :<- , ,,,r NOT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL WATER ADDED TO THIS VARIATION IN COLOR OR Cement polymer or freshly mixed concrete may cause skin Injury. Avoid contact with SURFACE DISCOLORATION skin and wash exposed: skin areaspromptly with water.. If any cement powder or CONCRETE WILL REDUCE ITS STRENGTH mixture gets into eyes,. rinse immediately and repeatedly with water and get prompt medical attention.. eep children away from cement powder and all freshly mixed AND DURABILITY. ANY WATER ADDED IS BATCH TIME _ cement products: AT CUSTOMER'SOWN RISK.. � s PLANT TICKET# ORDER* TRUCK# LOADaiZE MIX_ - - SLUMP DATE 1 N CUSTOMER'# -. SOLDTO P.O,# PROJECT#' DELIVERY ADDRESS. ZONE# USE DRrVER -- INSTRUCTIONS - TIME DUE 1 -r `•Y f2 •.I ••� PRODUCT CODE•try P SIGNATURE OR RECEIPT. CONCRETE R AND ACKNOWLEDGEMENT OF HAZARD WARNING Nuts meyer oncre p ompony win_ not assume: Ia I I y for any property damage or any - SUB -TOTAL e� Ipmegt: damagertor-a�y deliveries beyond the. curb line. 1 TAX AUTHORIZED BY ^` SHIPMEN SUBJECT l'O CONDITIONS O✓��V.Efi E:SIDE_. -- TOTAL. cu Y IS MADE SUBJECT70 THE FOLLOV CONDITIONS, C&Lv, -nor g,.j;Fs 0 piovade a sj:'LaoiP roadway for our trucks from the street paver sent tothe jnaco uf de!ivnjy ot -Ia--,. C", ''';jvvey L"Ic f'M provIdcd, we reseivethe right +0 stop deliveries i jr;W conditjc.s pre I* rie,n re,,poiV-ts'a iorany less cause dtheteby c,,. Aaer, •-nKiJc tho -,utt line at the customerorcustomer ielprescrtlative's reauool uji,,L4 fillod ic, ,idf,%valk. driveways, buildings, trees, shrubbery, septic tanks and septic systems, i-c d! c4,,n&r's iI iti �[Ymburw said Company for loss of time and equipment by reason of such deltvGryIL AI ",;s is I 17.W"D saber I-taimless said Company from any and ail claims, ofmands and suits for or rin ae:7o,lif ', I rP.' r cb,c:ed 6y ol aiI firom private drive-wayceirvery. I!; ("j-,10110f a'.ki v3v,iodges tar'l all material and services shown have been received. that truck tint �s �r, ivnt ilv= arnuz:ry otwater added at the customer's request is shown correctly. CAU TOM The aduition o. W-W4, e'JuCe'j Y"E' are ncft for finshed results obtained from this load of concrete: many important factors iI ft job a,e beyond our scope of responsibility and control Vl 03 ner mlrutm3 �,.W be charged after 8 minutes per cubic yard unloading bri-e is c,) reodel I ro privido a sul We wash down facility fo� our trucks and tnols at j,,Pes lo pay all cois4s and expenses of collection, Including a Y o, sonab!o aiforr'rey it h tco/ kj'N'v rnerOarld)sv efiectO in this mvoii;e, when oue: Past due accou;t!_ are �Ljo,ec.ttoa• mpn'd Pasioi'9 hztianv;P. 1 i-te ccustorrior hPirebyacknowledges receipt of the corilpluterup"01 It I, LCL 8 e e a• ' 1142 Water Tower Road, Lake.Park FL 33403 Office:1-877-484-9994 / Fax:'561-844-7109 South East FloridaDivision Dispatch. 561-844-9994 / Central Florida Division Dispatch. 407-339-5311 Concrete Tested: ❑'Yes El No LOT_ # Water Added at Customer's Cylinders Taken ❑ Yes. ❑.No - Request gals, to full load' Comments :gals.. to'213 load. gals. to 1/3 load. Customer's Rep - Water Added fc,. ,. I{,,i";�, NOT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL WATER ADDED TO THIS VARIATIONS IN COLOR OR Cement polymer or freshly mixed concrete may cause. skin Injury. Avoid contact. with SURFACE DISCOLORATION skin and wash exposed; skin areas promptly with water. It any cement powder or CONCRETE WILL REDUCE ITS STRENGTH mixture gets into eyes, rinse immediately and repeatedly wnh water.. and get prompt AND DURABILITY. ANY WATER 'ADDED .IS medical attention. Keep children awayfroro cement' pewder and all freshly mixed - AT CUSTOMER'S OWN RISK. BATCH TIME ;•.; cement products: J 'PLANT - TICKET# - ORDER # TRUCK # LOAD SIZE .MIX SLUM P .DATE'. - - -a. •i�tr }1'n - .♦ rY T "{i`Yi.. f i�rl "L' `'I CUSTOMER # SOLDTO - P.O.# PROJECT# � r •!.- utf C' ,r'r •.mod i'I Ir1 i'f DELIVERY ADDRESS. ZONE# USE DRIVER Tr° ..rn§ si . ^• iTi sv"a INSTRUCTIONS - _. -. _ - _- _ _ - - _ - TIME. DUE.. ;,�t!;`1 f i�. '�i.:J-tJ9 .. ', ;^ f �� 6IGNATUREORRECEIPT j�fly\ C-.NCRE ErAND GKNOWLEDGEMENTOP'HAZARD'WARNING. • : - asc meyer on e , o any wi no.. assume, is r I or any property damage, or e SUB - TOTAL egUipmentldama fo.. _yfdeliveris'treyand the durtr line. - TAM AUTHORIZED. BY SHIPMENT SUBJECTT.O CONDITIONS ON!ly ERSE: SIDE. TOTAL, V V1.1 Y %RAPESUBIFCT TO THE FOLLOV C. Wy rzCNS! i n PIOMP V SHRUL roar�.qviy for 91.r trucks fron the—qtrp�l paiiP.,7zoni Q 1Q plurofit-i!xU), i)' A yiysownf Tait Yps amnotprovided, we rcnervu'tho r:gtillo stop Oeiiiferfo�'L urtil -'ctrw lic.zi '0 Q L06ZMI f,! —.0 ra�,�orisi-lefurai-,y U'Z10b,� Wen AMC Y tonnes" : Ly"fc-r�' ih'eio curb lineaftne or=tollei rppreL�cntabve's Te&"Lie"'A/ r dr!,ievlay8l building',;, trc$s, shrubbp.ni, septic tanks, and apple P H'. is"' "'r"'Ws r 1 it tvyo—vf cqforr;s !o i"IMbJI'So &id Coir.pamot!nsos of Vi-no and eqtiipmeM hyri-ascr of sucn. Imni any and A claims, darnan& and q�uih, for , or) ac,,.,,. C at ali rrixle�lal and sewice* shown have Men 8cxived, t!"iattjuktiwsshowv W m- I do 40 amc or "T c3i?r r Oje.cr at , 01i, cuslo.vner's raquest is shown currectiy CALJ-fK-,,f,1: The ao,14!or, (A raf! RK"T , for;;niished results obtained f,oa) this load of concretu; Many facmrs "ie ;nb are btrvcnd. ow sccpe of responsibilit,, and sonlrol. n &W us 0 51 .10 PM awilp at he Charg'odafter 8 n"i'lut"s per cjsicyard unoaui.Ij twoo 41% Lzo i, �n P i1r, 0 nu zo surtat*--% lfqasli down tac lity foraur trurr'$ arid too-L& a i I r, of d"liv, n 'I to lay ap coms and nxoc'nsea -L'f a riav MA W nAe= 5 0*r due: Sat duo accozR6 am; sub' 'w'Vo I! custoynt�r he!eby ackno-vvI,,dgqq rec�orf 0"LlIc , 1142 Water Tower Road, Lake Park FL 33403 Offiice:1-877-484.9994 1 Fax:561-844-7102 South East Florida Division Dispatch:561-844-9994 / Central Florida Division Dispatch 407-339-5311 f nP v :� utn Concrete Tested ❑. Yes. ONO LOT'# Water Added at Customer's Cylinders Taken ❑ Yes ❑ No Request gals: tofull load Comments gals. to 2/3 load to 113 load '� ' °' r I r' -• r -'r �� ^ - , r. 4 G ;gals. Customer's Rep - Water Added NOT RESPONSIBLE FOR WARNING IRRITATION TO THESKIN AND EYES WATER ADDED TOTHIS VARIATION W COLOR OR Cement polymer or freshly mixed concrete may cause skin injury. Avoid contact with, skin and exposed. skin areas promptly with water. If any cement powder or ,ADDITIONAL CONCRETE WILL, REDUCE ITS STRENGTH SURFACE DISCOLORATION .wash mixture gets into eyes, Mines Immediately and repeatedly With water and get prompt medical attention Keep children' away from cement powder and all freshly mixed '. AND DURABILITY. ANY WATERADDED IS AT CUSTOMER'S OWN RISK. BATCHTIME cement .PLANT TICKET# ORDERk - TRUCK# LOAD 87ZE. MIX - - SLUMP' DATE CUSTOMER# - SOLDTO P,O.# PROJECT#' r 1 DELIVERY ADDRESS - ZONE'# USEDRIVER INSTRUCTIONS. TIME DUE • ITY SIGNATURE WARNING OR RECEIPT-. CONCRETE AM ACKNOWLEDGEMENT OF HAZARD a meyer' oncre ompany will, not assume liability or any property damage or any SUB equipment damage iofj �qy dellveries beyond thecurb line. -TOTAL, ' ,,� 1 iE TAX AL nKORIZED BY SHIPMENT S1.18JECT TO CONDI T IONS ON HILYtHSE SIDE - _ - _ _- TOTAL v tlfw MU W ISMADII SUBJECT'i'O HE FOLLOJ Of7NDI T IOP' : r r A' t, trf de a. suitable roaoixay for our trucks from the stroei tlave;rr:G°nt to the } lac , of deli rc Gf t it ae !„ . an ys „ri, nut urnvlsed, wee resenra+he fight to stop c eE ,errs untl. ccndfdoh,y are r.,, n zp . l n id, i - on;rble `or allyioS3 cf`tused thereby. j 1 ' f o , ,'y s , 01::id l)eyo; ;rl qr - cl line at the i7.UHtorrter or c-,Stomer relpresentat,ve's req.1?_t, anI rdar ;.,kry o= li Ile,} ",U, $ Ia valk-S' dr tvenays, buildings, trees, shrubbery; sept.c Pants and Septic gsieros, r iCOu tr.g't3c uI Al l cm. r,r^r risk. 1 }p rustorpe agrees o Amourse said. Compaq for`Ios3 of time and equipment by reason of such delivogyr roc .. _(I tc, r an'�Iiiy rc,'dvO air•lesssaid rompaliy from any and all claims, demands and suit$ for or on acc:".;n � t.r r ::,'r n n; ar rau — i?'y a .,rising from private drivew iy deli✓ery: sr G4 t":dges that ail rrlatefiat and services shown have been received, that trucktirres sho t, r a it -is ;a^lount of water added at the cu,fomee's request is shown correctly. CAUTI'Oft The addition o+�4llsr c yr^ ste n,--noth anti iurabi;ity. r. Weere. not tesporisiblo fov'fir.lshed results obtained from this load of concrete: many important fictcrs affuoting'fl--a jt-,f ty n' th, cc:r^r acted iob ate beyond our scope of responsibility and control. ;! ti .. A &*AG-g2 of $1.09 ¢er miMute willft to charged after 8 minutes per cubic yard unloading time is exce;,de.ol. ho �,!;Yu fSl f'F" a. ree., to ro idea suitable d trucks, � .lL t > place r �! -f ., -t q p-biewash ownfaaityforclgrtrtl�•K.,andt4ic,..��ttre��fJF;i. 9 5. i (.atom& hure-[vpgree8 to pay all nosts and experise-S`of collection, viclixiiwJ• ai'eati(juable,attrSmltty 8 io', 11 rrf, t-., a,! r liy r tho n`5. chandlse. roftscted vi this invcica,'wher, due: Past duo accounts are suhject it tau! It;ie U t - U:it;J:a1 S pJ;ii dug b' l'1nCo. The cu,,,Iorr.erhc.rebyqckro,,viedr.s coon, r ii tl it e 1942 Water Tower Road, Lake Park FL 33403 Office: 1 877.484-9994 / Fax:561-844-7102 a=` South East Florida Division Dispatchs+561-844-9994 I Central Florida Division Dispatch:407-339-5311 Concrete Tested ❑ Yes+ ❑,No LOT# - Water, Added at Customer's. Cylinders Taken Yes ❑ No Request - - gals -to full load Comments j ;gals. to,2/3.load - -gals. to 1/3load '`"� - - Customer's Rep - ater Added NOT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL WATER ADDED TO THIS VARIATION IN COLOR OR Cement polymer or freshly mixed concrete may cause skin injury. Avoid contact with, skin and wash exposed areas promptly with water. If any cement powder or CONCRETEWILL REDUCE ITS STRENGTH SURFACE DISCOLORATION mixture gets Into eyes,. rinse Immedlately and. repeatedly with water and get prompt medical atlenhon. Keep children away from cement powder and ail freshly mixed- AND: DURABILITY.. ANY WATER ADDED IS_ - AT CUSTOMER'S RISK. BATCH TIME - cement. products. S Load To Job On Job Begin Pour Begin Wash To Plant I At Plant, .PLANT TtCKST# ORDER # TRUCK # LOAD SIZE- mix SLUMP' - DATE. CUSTOMER ' SOLDTO --. P.O.# _ PROJECT# DELIVERY ADORESS - ZONE# USE DRIVER INSTRUCTIONS' - - - - - - - TIME DUE ffel IRA 60214;ixmj��j PRODUCT DESCRIPTION U.0M. UNIT PRICE ! ! SIGNATURE: OR RE0EIPT-6ONC ETE AND ACKNOWLEDGEMENT OF HAZAROWARNING asc tmeyer Concrete ompany wl not assume imoyny tot any property damage or any SUB -TOTAL equipment damage for any deliveries beyond the curb line. TAX AUTHORIZED. BY SHIPM NT'SWBJECT TO CONDITIONS ON REVERSE SIDE. TOTAL. �1 I tit" Da N iS MADE SUBJECT TO THE FOLLOV i CONDif9ONSJ i rfi C:'cl y orr ;S to Provide a sk:Itabie roadway for our trucks trom the street pave,fT1`.arlt to the place of dor. @A } L !F i^'' :U x.blc rQa"! 4y,.; r?'t;".Ot ra'✓:d"Jd,. LVB Tesarvetn'7.,right to stop dMiveri s until con(:fjonS a'E:."remsC S? trj ..,: %,,ill r,, Id rrspOisifb'le for any loss caused t-eieby. .i _. Y ii'*ri']£: I do;y''� r" Iae -fa heyorld tme cut-o fine at, the customer Or customer representEit`Ve S rE3LfiUc': ..t, any C`u'113qiL' i 7�I ,,,T i' r:Yle'r iii. -, "dL uValks, orl"evvays' buildings, treeu,, shrubbery, septic tanks and SfFjijlC'^Sb oleRl�ct IrClle4 r'l. t�la "r": :1 sGR ui tie 6'1r ^r�. ray I'i5i�. y C.l;'itci 11G' )Clrees to rral'I bilr. o said Company fbr loss Uf time anYfi equipment ay reason 9f Str+';r'9911V£r}f�l? ;. :t+' :: ih .nderwl iy .:wd .sawe,na reK inr,5aid Company from any and all claims, demands and suits for or cn acoij':tr,r ('f 'o in 'ny *-)+:I1t. C I! ed )]''{I, akin ng I[am private driveway delivery. 9J l., 5'fal cr dC'k,...,7.iedl�ES tf'atall materiaf and Services Shown have beers received, that trucK t'lma8sbolw;t OICu!IFr_^.i the custotner's request is chowncprractly- .. sat L EME= 1142 Water Tower Road, Lake Park FL 33403 W Office:1-877-484-9994 / Fax:561-844-7102 South, East Florida Division Dispatch: 561 844-9994 / Central Florida Division Dispatch: 407=339-5311 r Concrete Tested: El Yes ❑ No -LOT # Water Added at. Customer's Qylinders Taken ❑ Yes. [J'_No - Request gals.. to full, load Comments _ _ 'gals. to'.2/3 load gals.: to 1/3 load Customers Rep - Water Added NOT RESPONSIBLE FOR ! WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL WATER ADDED TO THIS VARIATION IN COLOR OR Cement polymer or freshly mixed concrete may cause skin injury. Avoid contact with skin and wash exposed, skin areas promptly with water, If any cement powder or CONCRETE WILL REDUCE ITS STRENGTH SURFACE DISCOLORATION mixture gets into eyes, rinse Immedlately and repeatedly with water and get prompt. AND DURABILITY:, ANY WATER ADDED IS gATpH.TIMg r medical attention. Keep children away from cement powder and an freshly mixed AT CUSTOMER'S OWN RISK. cement products. PLANT TICKET# ORDER# TRUCK#]LOADBIZE`, MIX - - SLUMP DATE,' j�Il: lti.- T "',.� 11;« _ :� ;T '' �'e ,��':q . a,ii '!14 .'r, ri''�'• CUSTOMER#. SOLDTO: - P.Q,# PROJECT# lY `'i •,.iai r;'�'.' .ski. :.t•t.f i'� r :^1-,',a DELIVERY' ADDRESS ZONE# USE DRIVER. :.i L` 5_ . .r •� CI,S il.',JF- INSTRUCTIONS - - - - - --- --- - -- - - -- - - - TIME DUE:: ••� ORDERED PRODUCT•e ••De • p ! la ,�.I I. /•+.r t.ii l id {..i' t,..llf a'_ 1:1 SIGNATURE:ORRECEIPT•:CONC, JJ,rryya E AND ACKNOWLEDGEMENT OF HAZARD WARNING asc In eroncrg q ompany wl no ,assume:. to I I y' or any property amage or any SUBTOTAL equipment d' a er oa deliveries beyond the. curb:line. . y I '_' TAX AUTBORIZED.9Y SHIPMENT SUBJECT TO CONDITION /N REVERSE SIO : - - TOTAL, ,Al'3DLL NIS MADE SUVROC TO THE FOLLOV readway fo:, ourlrucks troat the sIrrot Paven"ont to ti-lin pyce A 000-h .1 1 Pi" n Wa roa �,,!rjy :1 wa n o h orc mdea, wo resm vp I a Apht to stop dol;vorie,; G lit" ccnofti0i`lka S110 4,.,IE C,et� 'i. li .ice ceti hod The crj:.M$ 1ac, al "! ,e cust&mEtf oi* car rai�wrczsl, mycavaQu& j, ")i diiviFtvvays ium'dings, trees, shrubbery; seylk fanks dr,d 8ept.c :1,,;iu(j Py V rj s, d an 14 inn Pyracs row, C-C! "a-, to eimcur-oe sa-cl c.�mpany for ioss of time and equipment by reasoo at iti&fj,0iv,,,"jr "o 'I ,Adup Q anj mm, raid Oororyany from zany and aH 010m, oemands arc Surts for of ,;) aczo,t -i fJv NX al tramlar and xewices shown have been r000l.od, that truckONS wrowo 5M kv mr: in- -lot-,nt Wawet adlud at tW. clustomeac's request is shown comectli. CAUTION. The addsm iY. vi a I W, onmWojob arc beyond oar scope of responsibility and control. A L in ge of ) 1 V) h�, r ,;?fit^ 6;4; bf., comyred after 8 ninutes per cu,131c; yard linif- i�. tt pfcado a sWMbm wash domyn fardlRy to,' our iruc;sand trx,,16 a, Vic rUca at fic"nv q, of I in pay ao cm, Radexpenses of cokc-tion, inclading a if t-.t` MY ;,W lin rrerchanf-00 reflectea in t.'riis inmes, when due: Part du*acc,;iurW; are auoje ,^', to a a ft 1142 Water Tower Road, Lake Park FL 3340 Office_:1-877-484-9994 / Fax,561-844«7102 South East FloridaDivision Dispatch:561-844-9994 /' Central Florida Division Dispatch: 407-339-5311, Concrete Tested ❑ Yes EeNo LOT' # W ter Added at Customer's Cylinders Taken 0 Yes q.No Request gals.. to full load Comments ,gals.. to-213load gals to 1/3 load t , . , a, ,�, ,•:j Customer's Rep -Water Added' NOT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL WATER ADDED TOTHIS VARIATION IN COLOR OR skm and wash ex oresconcrete mawahuwatekinlfnenryem nt� wdeWo' CONCRETE WILL. REDUCE ITS STRENGTH SURFACE. DISCOLORATION' mlxtuie.gots Into eyes, rinse Immediately and repeatedly with water and get prompt' AND DURABILITY. ANY WATER ADDED IS medical' attentloq. Keep children away from cement powder and all freshly mixed AT CUSTOMER'S OWN RISK. PATCH TIME - « cement products. _.. ! 7t_, P4A[aT TICKET ORDER# TRUCK#• WAD SIZE 'MIX S[QMP ',DATE _ - CUSTOMER:# SOLDTO' PO:.#" ,, PROJECT# DEL{VERY ADDRESS ZONE# 115E DRIVER _. INSTRUCTIONS -'.: _.. _. - ._ TIME DWE t !.!Kai I -!1! !AMOUNT R ! ! IV .. SIGNATURE WARNING :OR RECEIPT CONCRETE AND ACKNOWLEDGEMENT OF HAZARD' RIUM111111WALIEUMAM linascruneyer Concrete, epparry Wrino assume liability or any property damage or any - - TAL equipment damago fortan_y d `ver' s°beyantl the curb line. SUB•TO �.iY, V... 'TAX AUTHORIZED BY SHIPME TS' BJECT TO CONDITIONS ON REVERSE SIDE: - TOTAL. + TV!s N.'J N G MADE SUBJECTTOTHE FOLLOV i CONIDITK)VS� topwrv!de a qu;tab!e roadway for our trucks hom the stread paxmmeWtoTa jaceof dInST oWeyr 1? suafy nunnole roadwayu, ar,,3 not proviaed, vle reserve the rightto Glop delvertaF3 unVl coodTons ai-e iarnadi-d 'nle' 1 cua''^. nez 1.,Ifit oo nerd resporiabje for any hoops caused thereby. I i4 vklvicr; . U,.S;i !--nadaicuyond MqIJWT, cx -.Ot triked driveways, buildings, trees, shruboepA sepbc tanks End septic sys.cr s, nz:VI!.mj ;ne it Y 0;6. 4,re. vt tt'C' o'anerls u. i';-c i,'r agmeS to 11mburse said Company for loss of time and equipment by reason Jf such &-,!*ry, a. isl AWxnQ" End suonNy� narmlOss said Company from anyand all claims, demands and auks; for or on acQuyl ol oA tov nw= caused by Qr arisinq fvoin pNWe driveway delivery, arXnaviedgesthat all material and services shown have been recewpo, that trurkhmes 0own wo Valed, a; I lo, to amov,,t of water added at the customer's request is shown correctly. CAUTiiON: Tho adcfition of wg;�?r ror.,4we,, oo n ri etO, -31 q-,o, t4h ai i d dul mbi fity. not resporFNe farfiirished results obtained from this load of concrete; Many i:',ip' UL RUY of be combeled lob are beyond our Sage of responsibility and Control. c "a,qe no, stinUte ANIj be Cha,gat s`Itf.Y 8. rl,jnutes percubir; ypcd ur-loading tj.iir i.S luz ""."*A" nr" wash down facHRy for our trucks and tooz; at pay at tout. U+UCXPd )41SO,' Of cute-alton., z Whio K, oalto, lm^ Past moacoour.�L8a,u -,A,,sMAiGo `-' b214 r orecelptot i!}Q 11 ■ 1I 1 1142 Water Tower Road, Lake Park FL 33403 Office:1-877-484-9994 1 Fax:'561-844-;71.02I South'. East Florida Division Dispatch- Sol-844-9994 /' Central Florida Division, Dispatch: 407-339-5311 Concrete Tested ❑ Yes.. ❑ No LOT #: Water Added at. Customer's: Cylinders Taken ❑ Yes -❑,No ,• Request. _ gals. to full load Comments _gals. to 2f3 load gals. to 1/3 load - r oe uT^a;-; i• , .Customers Rep - Water Added. - - - - NOT RESPONSIBLE FOR. - WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL WATER ADDED TO THIS, VARIATION IN COLOR OR Cement polymer or fmshly mixed concrete may cause skin Injury. Avoid contact with Skin and wash exposed akin areas promptly with water If, any cement powder or - CONCRETE WILL REDUCE ITS STRENGTH .SURFACE. DISCOLORATION mixture gets Into eyes, rinse Immediately and repeatedly with water and get prompt medical attention. Keep children away from cement: powder and all freshly mixed AND DURABILITY: ANY WATER ADDED iS ' - AT CUSTOMER'S OWN RISK... BATCH TIME - cement products. PLkNT TICKET# ORDER# iTRUCk# ' 4 LOADSiZE: � IA I Mix SLUMP ^ .. " � , , �'. I I DATE _ L A Y � rl � 1. V 1 _ , , ` i 0 • CUSTOMER # _ sat nTo - - - PO:: M. _ PROJECT# ..,.- r , DEUVERY ADDRESS - ZONE# -,' USE. ()RIVER Y. / INSTRUCTIONS'. - TIME 'DUE , - - T4=' t Ll SIGNATURE OR RECEIPT GON PET "AND.ACKNOWLEDGEMENT OF EAZARD WARNING _ asc e. er Concrete company w no assumeliability or°anyprope y' damage or any SUB -TOTAL .. equipment`tlemage for�alty tleliveries'beyond the curb line. I.,I ' .- •I TAX . AUTHORIZED BY SHIPMENT SUBJECT TO 0 NOTIONS ON REVERSE SIDEA- - - TOTAL.!! is I ql - -I-i Y "S MADE WSMY TO THE FOLLOV VONDFIONS: 'a;(-rns- to t; oVQ dsm1ble n3aWly t01OLAr trPC?S 'rUFn thq "rue, podmont totfa SJr xy f, of or,' vlq(ot V i fee a s—trov 'sr. ueM,ar mo�l�� lornd to own e aen )� e cq Vm'n W mit,00 obowals oriveways, buidrrcts., trees, shmbbarysepuctapks and saptc sysreal Wall, 14 0 6— a, We cwyne&,� WK I '"' 1 .Isnt -rot agrct,n t'Drvirt-iburse -aid Col" pony fuT loss offinic and equipment, oy reasoaot ��tjch c"01i m,xpoq no j save ha i PQ 3 smd Can pany fmrn any and all claims, dernandj and suits for or an src;,!--c! 01 00; 1 ova sun n", v! v11.at W; mate nW and Services sriovin have been recterved, that twox, timus Sam ti q _or Wn B- the cusic'mc-'s request `rs shown urlrredtiy. CAUTION: Ti'ie addition L)� ttt,,; ar, obtaineciftin this load of concteto; many unp,,.. Iant ;actcrs -,- --,i tp-,linrr e CAter© Uevond our scopo of responsitilily.and central 'af ,`el rtt^.vvrh bo Chat ged, after 8 mirwtos percautc, yard I) ' 110adVg tMe "I ely'Ce'�r''io t,-,clo—y q-,3, r, to P";-vide a swinabb now down facility for ow fruc,,t;s ano torts at thc Placu c` (,rlin ca,.� ')t QcsAKmrrcr;nj pgrwo.� to pay ali (�;st.tsarld exp�-,Pse,� of ccdloc�ion,:nc!�d�nq plorne,'z ttie, if Pr, al , toll w We memkorhee Waced in US invoice, when dum Pastduo accauntl; a, - s due bahm, 7A.- t�uslon-ter hereby v"-," I Jj • a• r AffWN 1142, Water Tower Road, Lake 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 Concrete Tested [ Yes El No ' LOT If Water Added at Customer's CylindersJaken E-1 Yes D'No Request 1 to full load 'Comments ,gals: gals: to.2/3load gals. to 1/3 load Customer's Rep - Water Added t 0 ,', T' y TF'.t' r, 1 /n NOT RESPONSIBLE: FOR WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL WATER ADDED TO THIS VARIATION IN COLOR OR Cement polymer or freshly mixed concrete may cause skin Injury. Avoid contact with SURFACE DISCOLORATION skin and wash exposed skin areas promptly with water. If any cement powder or CONCRETE WILL REDUCE ITS STRENGTH mixture gets into eyes, rinse Immediately and repeatedly with water and get, prompt medical attention. Keep children away from cementpowder and all freshly mixed AND. DURABILITY. ANY WATER ADDED IS AT CUSTOMER'S OWNRISK. BATCH TIME _ -, , cement products. Begin Wash To Plant, At Plant PLANT TICKET# ORDER# 'TRUCK# I LOADISIZE ' Mix SLUMP' DATE 7. CUSTOMER # t8010TO P.O. # PROJECTp _ _ DELIVERY ADDRESS ZONE USE DRIVER. �.'r f I, 11 I' sir INSTRUCTIONS - - _... - -.. _.. - - _. TIME DUE ! � •-r a PRODUCT •r -••UCT DESCRIPTION U.01M. 1' r:... n�r.• ,� SIGNATURE WARNING' OR RECEIPT, CONOBEIR AND-ACKNOWLEDGEMENTOP HAZARD • : - asc m_ eyerCo erFte any witnot.assume r I y prany props amage or any SUB -TOTAL equipment tla aged fr�any deliveries beyond the.curb line. / TAX 1 AUTHORED BY S.IPMENT SUBJECT TOCQNDITI NSIr I$. VERSE. SIDE. TOTAL !' 'j 'ji5 CIE 't iS MADE SUBJECT TO THE'€OLLOV t CONDITIONS', rl ii d-mE -z top'-'7'vid2 rt Suitable roadaway for Our trucks from the street pave?rient to t$le;), ace of ocr(c�'y C)f f'� „3t, ruad way8 are riot prov-ded, we teseRie the right to stop deliveries Gnb." conditions arc (? r: 747.. f I o. .. '. Yvn7Br'at"ill b c held?"8sponsibie for any loss mused thereby. r rfy'i. ; delivery is rrinde o"yond the ouro line at the cistomer or customer rerpres-niativE 9 reques nny dcU"4'f,,}°} ', r' but not f ,i�ad to, siaewa ks„ dnv :wage, bulldii 8, gees; shrubbery, sept c tan' anc➢Septic £;ysterr(s, including me H iil ,i ;i c riG!rP =S 10 iF'r7;bilrs? said Company for f3s5 of time and equipment by reason of SitCh dHl\/^'}j, rtl':;'.if- ;; *nlr''ty and save harm!''ess said Oorr,pany from any and atl:claims, demands and suits ter or on acc;el;ntIol a v-� I +fP �'' 0-LU3.P.1 b'}r Or aY%sllji'-0 trOmiprivlYe drIVG+VF'ay delivery. liti .. ClUvtc"l'Irf4rack!luvvl'dge'slhatsll material and:Servicesshownhave been f2CE'iVed,tiat ti:tici�tiR'1P.15hONrii �1' G.lr.7£C:i ?rt:. 'l} tre: ainourt of :v'ater added at the customer's request is shown correctly. CAUTION: The addition cf vi; conrt'ote str,ngtq lard durability, i �i lit' Poll regpons'bie fo," finishid resURs Obta..ined frCm thi,; load of conGP@te; hi lny impdrtrtni F2L"iO g 3if2[' F.O Zf r lli!. ' =1`E: : ucflty of the completed job are beyond our scope of responsiai!ity and control. 6. H c' ores of $1.00 per minute wiii be charted aiter,8 rninute s per eutaic yard unloading time is exceecl(rd '+ nc''"[ tQir el (fir _ S 10 Orovuo e swtab:e via.sh down far-lity for our trucl<?. r ndl tnolf,rii it , V Nigro-P tf p..y all t.rSrt ar d Pxperit98 of collectlon. it (. Kling ,'.t (rd urrO C,i n:4)"I •vy�,r i'E� f I-'7 Sfle-ted in tii;S invoice, vJnen.due, fast ditG n..'coixts arc, sijbiW :o a 1'-4/"yy -..-vv t J;.'Crri)d:.)C.:.,tt dl:L �ice.Tit'0 cuSiQmer..he('e,bbyac%rvniadCJ.es ie-EIpt G.'!he. 140� ql-h r•"". t,1 i i .. n. 1142Water Tower Road, Lake Park FL 33403 Office:1-877-484-9994 / Fax:561-844-7102 South East Florida Division Dispatch: 561-.844-9994 1 Central Florida Division Dispatch: 407,339-5311 Concrete Tested ❑ Yes ❑ No LOT # Water Added at Customer's Cylinders Taken. ❑ Yes: p No Request to: full load Comments _..-gals.-. --- gals. to, 2/3.load gals..tdTi3load - - I - - i Ir �,,Tr"..• .. I..^ Customer's Rep = Water Added `t _ r - NOT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL WATER ADDED TO THIS VARIATION: IN COLOR OR Cement polymer or freshly mixed concrete may causeskin injury. Avoid Contact with skin and wash exposed skin areas promptly with water. If any cement powder or CONCRETE WILL REDUCE ITS STRENGTH SURFACE DISCOLORATION mixture gets into eyes, rinse Immediately and repeatedly with water and get prompt AND DURABILITY. ANY WATER ADDED IS medical attention. Keep children away from cement, powder and all freshly mixed AT CUSTOMER'S OWN RISK. BATCH TIME - ' -�• ,.;� cement' products. I Begin Pour egm ash To Plant At Plant: PLANT TICKET#. ORDER.# TflUCK# RU LOAD SIZE 'mix SLUMP :DATE r .. Crt 1. CUSTOMER# - SOLO TO P.O.#: - PROJECT#' . I I DELIVERY ADDRESS ZONE# VSE - - gRIVER - INSTRUCTIONS PRODUCT CODE PRODUCT DESCRIPTION U.01M. UNIT PRICE AMOUNT 41 SIGNATURE' WARNING OR RECEIP - CONCRETEANNACKNOWLEDGEMENT'OF HAZARD. Nuascruneyer oncre egompany willnot-assumeliabilityor any grope damage or any SUB -TOTAL equipment damage 16i my deliveries beyond the curb line. ✓' 11 TAX n s V l AUTHORIZED BY SUBJECT TO CONDITIONS N 5RSh�IDE, TOTAL' Y i,�5 MAjE SURACT TO THE FOLLOV CONMRIM5 " L! cr.i Mon Son T1 lab's rcavvvoy Wr Dvfrj(1t,,s l?(lr !to strec' pa!Q,n(; I to,,;- 'r', I If" E• I 1 0:10 law vv T 30 i l), ove resen,'C, t'i- riqhtlostop dnilvies =0 cundTors om. w-- sl no - �sr any 1C, 13 CaUFIed tj'7ereby. L j r V(-,. P,4..Y5, bL, hO inq A Meg saphc raric, . A 5,4 e; -u. d hTqi os i sat Cumpany fmr, any and all dwm% dumsmis vvi su.'s forcjn acc - It mlaiLlial -,nd ScIrvice,,o shown havabeen "no T 71 aowdui Nan( u,,-sd caf Mu cu'llorners, mquo,:.;1 is sh)wn coirf;ctly. CAuVl),'. Tire ,dJ t�u!, fiT sh,d r�,,�Jts c)Naink.;d fiom, Ws bad utr.oncrew: m_-ry imc,.IiIj P.LI:'rj f I �T IM! W we brynd ou, suope cl re8pons! lilily and,,onfrcd Ip e0s, rulule ow W) conclen aRer 8 nuoules par cu,-oc. ya!d u: ivadoIt'j'j, If, Is "IL-904 CiAn le, , 0 viode a b0abl wasn dove bci!iiy to., our $pu pXpe!"es -f Cullectoll, a fin -"57TYC Women. irT ti-s cl�,cPai"Iduc ac.-;qrn, 1- n I zt I jo, IC,?- ! F c Uto IT i G, ( t e reby ai;k i 0 VOLIH C -CII. P P t 0 f CCIIF [E L'O", 0, cE rl J 1142 Water Tower Road, Lake Park FL 33403 Office:1-877-484.9994 / Fax:561-844-7102 South East Florida Division Dispatch: 561-844-9994 / 'CentralFlorida Division Dispatch: 407-339-5311 . 1 W Concrete Tested ❑ Yes. ❑No .LOT If Water Added at Customer's Cylinders Taken ❑ Yes ❑No - Request - - gals. to full load Comments gals.. to 2/3 load gals., to 1l3 load 7 rr', rt T t ` i*, "1 rar ..- n , Customer's Rep -' ater Added NOT RESPONSIBLE FOR 'WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL WATER ADDED TO THIS VARIATION IN COLOR OR Cement polymer or freshly mixed concrete may cause:. skin injury. Avoid contact with skin and wash exposed skin areas promptly with water. It any cement powder or CONCRETE WILL REDUCE ITS STRENGTH SURFACE. DISCOLORATION mixture gets into eyes, rinse immediately and repeatedly with water and got prompt AND DURABILITY. ANY WATER ADDED IS. BATCH TIME medical attention Keep children away from cement powder and all freshly mixed AT CUSTOMER'S OWN RISK. .' •] cement products. ob • b Begin Pour Begin Wash To Plant At Plant 9 -may PANT'.' LOAD:SIZ.E SLUMP ATE rl _ _ ,CUSTOMER ,#. SOLD;TO P.O:# PROJECT# ka 1i ti;T• .,. DELIVERY ADDRESS. ZONE# USEDRIVER INSTRUCTIONS _ - TIME DUE ••I CUMULATIVE ORDERED PRODUCT•I 11 DESCRIPTION • f ! ! QUANTITY: SIGNATUREOR RECEIPT -CONCRETE. AND ACKNOWLEDGE MENTOFHAZARDWARNING _ asc meyer_onc-pmpanywin no assume la II or any property damage: or any SUB -TOTAL equipment aamage/fo any deliveries beyond the curb line. TAX - AUTHORIZED BY SHIPMENT SUBJECT TO CONDITIONS ON SE`Slp , TOTAL TV j _�r `E iVS GEL tY 1S MADE SUBJECT TO THE FOLLM i CONDITIONS: t' 1' C ustom r agrees to provide a suitable roadway for our trucks from the street pavement to the place of dellve&, of n;atc ri. l 11 su:h sultabfo roadways are not provided. we reserve the right to stop deliveries until conditions are remecie�j algid, cent, customer vrf,i b:: hold .responsible for any loss caused thereby. ,a W%on cc I„ y is made beyond the curb line at the customer or customer representative's request, any damage . inc;; J ,i , ref .ot It+iited to, s:dawalks, driveways, buildings, trees,, shrubbery, septic tanks and septic systems, in cl,rr'i=qJ ,+c lied. arc a'the'ownei's rsk 3 T,Rc ,ustorrier agrees to reimburse said Company for loss of time and equipment by reason of such delivery, :,t tao ic• rtdonnnity srid save harmless said Company from any and all claims, demands and suits for or on accqunr bf q r fn ;1y anner caused by or:arisingfrom private driveway delivery. Gustornor adknov1tedgesthat all material and services shown have been recowed, that truck times shown are aotr uct ancf that th;; a111ount cf water added at the customer's request is shown correctly. CALJTIOtd: The addition of .vlatf>r ccr:crcto srr2ncthand durability, !I Jve are no€ responsiNe for finished results obtained from this load of concrete; many important factors tlffec c ft ,� the ,ltr,; e' n j'?I''fy cf the completed Job are beyond our scope ofresponsibility and control. A i ;rq w per rniruie w1i'be rhaiged after a minutes per cobs c, yard urloadirp grin: is E"agrc:i,, to do j su-table wash do;Nn faCll'.ty for our truc`` s and tool _ a` t! u l ri .c,a of da;w$i i .' N4' T 1 ii"rf K ndii,( fe,lected in thIS Ltvoice, when oiie Past duo acoou Tt'.c Fre gdr1 j E'tC) �� „ ° P o i re err :? cl p9s doo r. alonce. ii'ie oust-ner heroby aCkrioNiedges ra :eipt orthe :'ar—pula(.o,y 3. C �1 0 1142 Water Tower Road, Lake Park FL 33403 ~ Office:1-877-484-9994 /' Fax: 561-844-7162 South fast Florida Division Dispatch: 561-844-9994 / Central Florida Division Dispatch: 407-339-5311 Concrete Tested ❑ Yes ❑'No LOT # Water Added at Customer's Cylinders Taken E] Yes. ❑ No - Request - gals. to full load Comments gals, to 2{3 load gals. to 1/3.load - i•l_�'., Customer's Rep -Water Added NOT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL WATER ADDED TO THIS VARIATION JN COLOR OR Cement polymer or freshly mixed concrete may causeskin injury. Avoid contact with skin and lash exposed skin areas promptly with water. If any cement powder or CONCRETE WILL REDUCE ITS STRENGTH' SURFACE DISCOLORATION - mixture gets into eyea,;nnse immediately and repeatedly with water and get prompt _ - - medical 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. • Begin Wash To Plant At Plant; ` PONT TICKET# 'ORDER# TRUCK#LOADSIZE Mix SLUMP 'DATE 'CUSTOMER# SOLDTO - P.o:# PROAECT#' DELIVEAY A DRESS. - ZONE'# t USE - - DRIVER. INSTRUCTIONS - - - - - - TIME.DUE ��[M-AULATIVE ORDERED PRODUCT CODE PRODUCT DESCRIPTION U.O.M, UNIT PRICE AMOUNT ! ! QUANTITY I. SIGNATURE OR RECEIPT - - CUM AND ACKNDWLEDUEMENT OF HAZARD ':WARNING MascrinneyerCons ompany willno. assume .lia II orany prope damage or any SU&TOTAL; equipment damage to any deliveries beyond the curb line. ' TA)t.ab""' 7 ,... ' AUTHORIZED BY SWIPMENTBUSJECT70 CONDITIONSJON REVERSESIDE. -- - - - - TOTAL, d F 4 i'::i_ "v IS Y: ADE S 9SJEF'. T W I'iiC FOL.LOV i .:r.3taP-P4? `u`A, " ,� ••: _.im ) .. :'..; °f W cVij-,, sul'-iWe roaaway Or ourtrlcks from to st,£.'f pav0nTnita we pica I . 7.I, e !'..�-, aU`r'Gult.:.;.-"l vr,..,}7�'{„4'iii'Gfi. We @P,fi.:Sille fhe(i�Eit tO StaQ aGli.4'r.�6i•tl:J Gt71.�1't. .3tri E3,,, ''t Clf?�i ;,'C _�: _, I t."a J->:•-•-Vail ti: t1F'Q"f3gt7o':SIki IC'for 3rl'7 lo%`�GISJSEll thfr:'?'F�Tt7y. ' -.- r orwoways, bAWhg% tzea, .sflrubbery, Septtc tanks and septic 5`t "� 2ir;.:. ��-.,: ,..� rq so J OV9r or ' rISVC. nt. .l,ryf_ nr c;ife, gp to reimburtzo said CorS?f'jal'ty for We of time ano equonAm! by roaSon of si rT deiivo !';G "'no f>.ivr Ir:: T'le?SS Said Company from any and all olalms, demands and Suit$fo'r or on RC.on.; . c. ..rf l ;;d 5y or arl.Ynq`Y,n-1 private driveway delivM. I aC h all matc:iai and scrvi, es shown have been received, that trucK ;1RlG3 snov,- cr I t;' i, "':t; th . ; „ o:mt of svrridr added at the customer's request is shown correctly. C AUIDON: The a&htir3n'e-f h17rr ..t;,'o f %'::aTro tr�f��ti'ran 1'itr+&.);:dit>,4 'r r e r t rF SP ;1.g LI for t nished results (ht incd from this load of Cohwreta many important f '.,tFJ; S eflliK:� 'r; •_,i1-. �. O + : !.'A me o:. r.7Oeed pb ate beyond Pot soope of responsinilitty and controi, i , i )q e'. r „ li,l M Will be charge' after. 9 n,inutes Per Cut3!o ya"CI x-lo" dmg h e'. F; a? cecioc o , �i ru,y &Y .lq,,"i N Pie'v`-`t_ a se!i,,t ie wa,4- down facility/ fri'our truc<c, ar':i in,'I. 34, t-fe FSi (," f.` Atli y„ C+`i Il't' ::..•... r bc;'� r ar '7 . _ _J� • .{r,;., il.y UsceRM arid j �:i-on�ce5 Gs, LGIrCG{V1, 'IGP:f, ire 4. - Qv an J, 7 .,., S.. G::.C1 in rl us Inv4l4C., brh&r, cJe: FaVL ouk, c7. ' Dw{,l_,.. tr.ildt;J>:E-1 :o- "eThe CWgaune hsmby ackr(=1dViC;ogc n ^.mprof tho Cov k T<. i UP4 G' n".i I i a - , . 1142 Water Tower Road', Lake Park FL 33403 Offim 1-877-484-9994r/ Fax-561-844.7102 South East Florida Division Dispatch: 561-844-9994 / Central. Florida Division Dispatch:407-339-531'1 Concrete Tested .Yes l]No .LOT'# Water Added at Customer's CyllAders Taken Yes ❑ No Request gals. to: full load Comments gals. to 713 load to 1/3 load -,,. c rJ s �.; - r-' . r .; ...gals.. Customer's Rep - Water'Added NOT RESPONSIBLE: FOR WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL WATER ADDED TO THIS VARIATION IN COLOR OR Cement polymer or freshly mixed concrete may Cause skin injury. Avoid contact with SURFACE DISCOLORATION skin and wash exposed skin areas promptly with water. If any cement powder or CONCRETE,. WILL REDUCE ITSSTRENGTH mixture gels into eyes, rinse immediately and repeatedly with water add get prompt medical attention.: Keep. children away from cement powder and all freshly mixed .AND DURABILITY: ANY WATER ADDED IS• AT CUSTOMER'S OWN RISK. BATCH TIME cement products. Load T To Job I On •A / e PLANT 'TICKET.# ORD$R# TRUCK# LOAD,SIZE mix I SLUMP GATE CUSTOMER# SOLDTO RD;# PROJECT# DELIVERY_ ADDRESS ZONE# USE DRIVER INSTRUCTIONS - - - - _ - TIMEDU€ •.• •-. . .•. •.PRODUCT DESCRIPTIONU.O.M. �. P I q SIGNATURE: WARNING OR RECEIPT - CONCRETa AND' ACKNOWLEDGEMENTOFHAZARD • : - asc meyer o c� a ompany will not assume liability for any property damage or, any SUBTOTAL equipment da age oranydeliveries. beyond the curb line. R r TAX AUTHORIZED BY SHIPMENT SUBJECT TO CONDITIOI:P�0REVERSE SIDE TOTAL TAM DELI Y 15 MADE SUBJECT TO THE FOLLOtf CONDITIONS, li * Co3lcrner agrees to hiov'de a suitable roadway for our trucks from the street pavement to the place of 60%frty n°race "_,i.-r,, sx`sbre roadwvays are not provider], we reserve the right to stop deliveries until conditions are remrl a I J, lr ;,ventci,clon',e, will be held responsible for ary loss caused thereby, �. Wfru�i E'llyEry S ^i%^.uF, beyond t112.CUfb fine at the customer Or customer representative's regUeS+, any d:'�r:l�fyJy if Co. u0, -Ic' nl,i iu': Issued to, sldswalks, dri've'ways, bulldings, frees shrubbery, septic tanks and septic systerr;s>, inC'UIi.l.g 'lint. !r riu�r� :ire at the o"�vner's rek. „I ^n i no cusiorrrar agree to reimburse said Company for loss of time and equipment by reason of such dcliye;dr, macs i Rdeninity and save-hannlosr, said Company from any and all claims, demands and suits for or on ayro li'- or ; r aryr ,lircr courted by or arising from private driveway delivery. " J :. Customer acknowledges that all rnatertai and services shown have baenreceived. that truck times shoe r ali�e ,Dire::; „r .: ' 6, at the amau,tt cjl watr r added ail the customer's reguest.rs shown correctly. CAUTION: The addlilion of .gat r ^onrrce t l and durability. 0 5. it f ;-- I, It responsible for finished results obtained from this load of concrete; many important factors afire i,�i 'tht ult i I ty.3f the a?mplet,2d job are beyond`our scope of ree'ponsibility and control. !i ¢?* 1.30 p o� m'n;:te will be charged after$ minutes per cubic yardunloadinu time is exceel l i . ? m'. cl:stor` u, c.r.)r{3E98 tf: piovide a suitable Wash down facility' for our trL.,cKs and tol trig raca'31- d&,';q `y )a c,A:;.arnv:r hereby ?groes to ;aay all cost, and exptorimeof collection, including a reasonable 'Viotizell if n, I a 0_?y r )r titit t 3ridi;i£ rafloctfid in this rivoico, when due: Pa5i dos eacco4 his i,re �! jo,oct t'o El .,f''�t'rft '! C."i'^f; 1t'lilii pc; �t fiL`P, �;zlan'_'E'. Tne C`U$tUri'Br'hEr2by 8C4nGiRtir^,dge5 rp,;n pt Of fnC: rorrlplbre Lo7t, �yt ll tic �j 1142 Water Tower Road, Lake Park FL 33403 § Office:1-877-484-9994, / Fax:561-844-7102 South East Florida Division Dispatch: 561.844-9994 / Central Florida Division Dispatch: 407-339-5311 Concrete Tested ❑ Yes. 0 No LOT # Water,Added at. Customer's Cylinders Taken ❑, Yes QNo Request gals'.. to full ]Dad Comments .gals. to 2/3load '.gals. to 1/3 load Customer's Rep - Water Added - _ NOT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL WATER ADDED TO THIS VARIATION IN COLOR OR Cemont polymer or freshly mixed concrete may cause skin injury. Avoid contact With SURFACE. DISCOLORATION skin end wash exposed skin areas promptly with water. If any cement powder or CONCRETE WILL REDUCE ITS STRENGTH mixture gets Into eyes, rinse %medlatelyand repeatedly with water and get prompt medical attention. Keep children away from cement powder and all freshly mixed AND DURABILITY. ANY WATER ADDED IS BATCH TIME cement products. AT CUSTOMER'S OWN RISK. PLANT TICKET# 'ORDER# TRUCK# LOAD -SIZE MIX. - SLUMP DATE I _ CUSTOMER # SOLDTO PD. # PROJECT# _ DELIVERY. ADDAESS' ZONE# USE DRIVER INSTRUCTIONS'. _ TIME DUE •.D CUMULATIVE I ORDEREDPRODUCT•rE PRODUCT DESCRIPTION U.O.M. UNIT PRICE AMOUNT QUANTITY QUANTITY I • SIGNATURE .OR RECEIPT -CONCRETE AND. ACKNOWLEDGEMENT OF HAZARD WARM G. • asc meyer n e ompanyw not.assume' a x y or any proper,y amageorany equipment rdarlii go for any deliveries beyond the curb line. SUB -TOTAL / 'TAX AUTHORIZED BY SHIPME T.SUBJECT TO CONDITIONS OJV REVERSE. SIDE. - 'TOTAL •'r,$ I,L N i �3 "MATJE ELtB:JECT TO IHE FfOLLOV i C0hP D1 r€'J"v:i &'>?ec-`i rjriv,iiJ.,F3 :7aLwayto, ''rfmcN,S`romkhestoet Pavetner' 0 the pkf.'OrAv.,tr;:?•I1Pt=. �. Os we. reserve the right to stop dPfl.rv.cs Until G: odi'ior-, are r( I'i?t9. ? �f•'i '* ' F PI i.1. 4 0 FIE' he C''G,pnl„leis i or any ions caused thNeby. ... t.^ ;JV � .`lid..�r,Gj/._;Ir..f`ceG;ll"."'iil�@At thBGUStOrI`tE3T Or CUSiOfilE:f l2p'(StiIIi�tlbP.. G13Li. i��V fi£.ii _�..y (`.., rYl +Ej [J, "n:'c.1JZi,iw crw ,,✓ay,, bJ'!iirfifj. free.;, GfifiUfiL`-erJ, S°3pff S (3 S C f! (, ;`s: X �. .I ba 0 C S 10 Ty auso awd C)pmpa{W tor'Wss of Cme and cGUipti-ier;i by i Ui 7;ucY' cl ir'r Won sup Wrings sad ribTi})FAriy Nni any ann oil clai 7 . dennarids ri^C. su is fGr o vP; L.C':;:.ri,• _..>j . anrpi' E .i.•S obi ( r arising fF<)m private' Ei;'iveway delivery. '.:+ I J'?p' o g ; that Wl rn-Acrial and services shown have been received, that trucklimeq. Sh` WPO Cr r,;_.. .` i. l' A' ,,if rJ vuIr :,Ei!JY at the customers requal is show; bouecHy. CAi1 7 -QN: ( e a e..Oun w AW , I Sif i cjnlifd t wa,..lilty. le, l.i` f. i shpd vesutts obtained from this load conorsfe; many important faafors FSlrr fq t^ i_`' "nrnj ' d ph are beyand Our scope of iesponsibility and control. n ! Pc t P 00h J"q be C%;arks 1 aftei 9 rQut2s per cubic yam! wd,>•adir y ioie •>, w,r''ad-:;a r 4�'�+ftBr Vf qre; acs tJ rrNwide a s'Y.iTc' ale wash 'donn facility for mn hucxs .and We az the pMc 1 cn i A% hl j :Y,:. 11 g,cV d 13 4J A cots and 4Ypyr-ses of F i '.i°Cinxj i �Qi ;r. Icf ?uozi m 14T in`:Ol m Her due PEtSt au,.......p'_:M„ Iri• r,i: i?' ., tr1 b. ?t ` ,yd; C. .. No ic rcS ., -..:. 1. i uJT:`, The t.usOt".r herei✓')%aLl:"Jld'.L,U`gE.o Y'a..t.'i:#)(! ;r o. 1 _ . i n 1.142 Water Tower Road, Lake Park FL 33403 Office:1-877-484-9994 / Fax:561-844-7102' South East Florida Division Dispatch: 561-844-9994 / Central Florida Division Dlspatchr,407-339-5311. .. a .I Y •I �I y) ' .. . Cl Concrete Tested El Yes ❑No .LOT # Water Added at. Customer's Cylinders Taken0 Yes ❑.No Request gals. to full load', Comments gals.to2/3load to. 1/3load '� I t I .vry — t• „-, ;ry, , .gals. Customer's Rep - Water Added . ' le v NOT RESPONSIBLE' FOR WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL WATER ADDED TO THIS VARIATION IN COLOR OR cement polymer or freshly mixed concrete may cause elan injury, Avoid contact with skin and wash exposed skin areas promptly with water. If any cement powder or CONCRETE WILL REDUCE ITS STRENGTH SURFACE DISCOLORATION mixture gets into eyes, rinse immediately and repeatedly with water and get prompt AND DURABILITY. ANY WATER ADDED IS BATH TIME medical attention, Keep children away from cement powder and allfreshly mixed AT CUSTOMER'S OWN. RISK: { , •; y�'. cement products; To Job On Job Begin Pour T Plant At Plant CI L :PLANT 'TICKET# RUER#TRUCK# LOAD SIZE MIX SLUMP DATE 1C:5 :''! 7zi 1l.I Y(L^ ` i,11 '; 'r' CUSTOMER .# SOLDTO' P.O.# PROJECT# DELIVERY ADDRESS ZONE# USE DRIVER 1.( (.. 1 ,Z"� l;,'. !."'1 r rill Ii :A�r t-1k.iL.1J T'i .INSTRUCTIONS - - TIME DUE •.. .•. r •r !.PRODUCT DESCRIPTIONI.I.O.M. • ! ! P a 1.. 1✓:1. 1'! 'r.. r.f .. ...... .. . '\ .�1�'� YY'l�t iLl'J if,� 0. C',A -r,t; :4;1! Ir11+","I','. 'i'..t:. 11TL'j-IT n.. SIGNATURE WARNING OR RECEIPT - CONCRET AND ACKNOWLEDGEMENT OF'HAZARD asC meyerCondWil mpany win no. assume Haltility, for any props amage or any SUBTOTAL equipment garehage p ny deliveries beyond the curb line.. TAX :. AUTHORIZED By HIPMENTSUBJECT To CONDITION N, REVERSE blut,. _ TOTAL VS t rHis DEc i Y 19 MADESUBJECT TO THE FOL„OV i OONDITIONS: P I o+ov'oe a suit: bte roadway for our trucks frommthe street pavern"r-,t tothe placF -rittobbip ma0w&Y3 are riot prov,defd, we re° erve the right to stop Oe ivdrles urltjl Condibonc• are re'mm iqb r- ' „i. r , . - d Uv fl c?Ii:1.. CeSp'7()Sltii4'for any ions use thereby. 'Pirn.,i . cijvory is 4�ldu''E? (�eyorid the'curb line at the customer or customer representatives re4Ltfdb"t,'ekYty tray"'��b i":;a. ^.I'i r., o col ii-M dl tu. ,dcA ` !6, dr+voways, bi.4ldln'ns, veer, shrubbery, sep$Ic tanks and septic systerns, incluil1!1in, rhi a ;r rd u,o.a,'iho'o.nersr.s':- .1 I� T ,e. G.as orr,Er aS rc3s tc leinti ur,.o said Company fer loss vt time and equipment by reason oi_such deliv:.Tya anj nrrdiy i i ! sav:; rinless s alo Companyfrom any and all claims, derhands and suits for or un arxa.Tr t r in ,. aincrca-sod',!yororitsin iromprivatedrivewaydelivery, f.. r I+SiGm;'P d�.lt r,J Jr'If Gi�.Es' that A material and se'rvi(;es shown have been received, that truck times 5hG'.^ �i c ry.t G;, ih Lit the a;roum of water added at the customer's request is shown correctly. GAUTiON: The aridiVo'r'of conrirrotr'stmncgth and,durabilAy. 1 t VA -I: are li r r- >u: risible for f i,7shed results obtained from this load of coneretc, many rriportar,t `aoror£ arfect nq 1N; o'•i qI la!i v of the Con!p9eted job ;--re beyond our scope of responsibility and control. '1 "-a',,. u. i CC uet-piiMite o, "ilo charged .after 3 minutes per cubic yard unloading t-r- I;" sxceedeo. j efo pi?vidn a suitable wash dovnr, twity, frSr QuOrUCKS ard'ror,N i thr. p!acd cf d:;.'. vt,4)),'. y i C! n 1' 9 7 r ,� i ,g ..,o Ttf, r.^.Yabt+ pg+C �'*' t'f Cry cv! cc G.� and C;xpenses of Cq,l@,ctlOn. including Ycs50+Iti'4.Nfy '� orPv,; ., I' t+- ,'` ua`r r-i, - ,E Il'£��1 Ch.�� ,,,5E ref'P,G1P.d !n tr�l$ invoice whin. dill. Fast dUC acorunts ftre Sub'ipct to a -? ' fi , t '1 ;,-: n. .;l„ I.7rc a -Cast die balance, T'ie customer hereby dcknowledges receiG Oi t}ik.' CG' feu �pe2 r ;.3�, � i _. ••+, �..• - �1 • '11f if '•1 Y II 1142, Water Tower, Road, Lake 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 ?u .• .t d r 51 A 7Ge r Concrete Tested '❑ Yes E] No LOT # Water Added at. Customer's Cylinders Taken ❑ Yes ❑ No - Request to full load Comments _gals. gals. to 2/3 load gals. to 1l3 load Customer's Rep - Water Adds - - ryr It ;' I r T''11,,c{ . tt-,o NOT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL WATER ADDED TO'THIS VARIATION IN COLOR OR Cement polymer or freshly mixed concrete may cause skin Injury. Avoid contact with skin and wash exposed skin areas promptly with water. If any cement powder or CONCRETE WILL. REDUCE'.ITS STRENGTH SURFACE DISCOLORATION mixture gets into eyes, rinse immediately and repeatedly with water, and get prompt medical attention. Keep children away from cement powder and all freshly mixed AND DURABILITY.. ANY WATER ADDED IS BATCH TIME. r_ _„� cement products, r .... AT OUSTOMER'S OWN RISK. On Begin Pou To Plant At Plant `TICKET# -PLANT ORDERN TRUCK p LOADIStZEl 'Mix SLUMP DATE _ 7: ('••^,_.i,.: '. j1 r:'� i.�. "i' rl ir.'. �_rzw CUSTOMER`#. SOLDTO" PROJECT# ,l'i"�DELIVERY ADDReS$ ZONE#. ORIVER- INSTRUCTIONS -- TIME DUE %1., t`;l SIGNATURE WARNING OR.RE EIPT CONCRT�D ACKNOWLEDGEMENTOF'HAZARD asc meyer on rate ompany w no assumeliability for any property damage or any SUB -TOTAL equipment dar7a or eny. deliveries beyond the curb line. 1 , TAX AUTHORIZED BY SHIPMENT SUBJECT TO. CONDITIONS REVERSE SIDE.. TOTAL li Til Ce.Ll Y IS MADE SUBJECT TO THE FOLLOV CONDITIONS-, '11t�ii rjci r;gr�,,S tO a Suitable roadwayficrour trucks from the street pw.,omontto, 1i 0 Pie"'' of qcllG7rl,k ofi - to Used hereby ou,�t,lit,o viI held to l spon6jbla, for any ssca I iei,veny 1,' rn7d- nyo-,- the Carloline at the customer or Customer representatives re`;q,� uesi, any darnaG w:J rO u,oiO to, otlew�Oks, drivQvvays, buildings, trees, shrubbery, septic hanks'and septic s} stcros, ins laoinq We hi hs�r' arillaIlll - ci,,nes risk. lie.- _ql iv'- ti, eomoursei slid Company for loss of time and equipment by reason of sach arl1:,-Pty ;+ ,I nave hwrnibibil Company from any and all clairr is. de-mands and suits for or on accuutit ipi c, j;-. ,liap.,,ner criosled or aftt"o from private driveway delivery. tl lll.,XlMi "VilindgPE, tNItall material and services shown have been received, that truck times 5how:l drii the emount of �,,,Aer added if the customer's request is shown correctly, GAILITION: The adcktkol-, 01 ,Ati-, .10r;;'l etc- �t � I I ,eng;h and durability. rosuits obtained from this ioad of concrete; many importaritfactors alfocl Jl Q,Lfallt-y of 1he cornplOed job are beyond our scope of responsibility and control. ij 0l1a.11 of out minute witill be charged after 8 minutes per cubic yard unloading tl is exccedeii. '4' 7. "tc Fiqr�ios to, provIde a suitable wash down facility for our trucks and toes at tyre place of deljvf4t� lot ro'atpl,Ij. xl CLI-,1011C'',111,,by pgleeS to olailir a7i cosi,:, Arid sxperlses of coltpcfinn, inoludinc a reasonable lk� I b.,-, -a t.-- "Lop" fcrth,�-, P.411ected in tNs invoice, when due: Past'due accouritsare� sLb;,mc,",) -1 ' 1 ziopast6 -idg t p1p -itj bal�nce. The. customer nereby ac�,nowlc 4es receipt of the comp to cop", ru, - 1� 1142 Water Tower Road, Lake 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 Concrete Tested ❑ Yes ❑ No LOT # Water Added at Customer's Cylinders Taken 0, Yes ❑ No Request load 'Comments ,pals.'tofull gals�,to:2/3load gals:, to113.load . _ - - Customers Rep - Water Added NOT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL WATER ADDED TO THIS VARIATION IN COLOR OR Cement polymer or freshly mixed concrete may cause skin injury. Avoid contact with skin 'arid wash exposed skin areas promptly with water. If any cement powder or CONCRETE WILL REDUCE. ITS STRENGTH SURFACE' DISCOLORATION mixture gets Into eyes, rinse Immediately and repeatedly with water and get prompt AND DURABILITY., ANY WATER ADDED IS. medical attention.Keep children away from cement powder and all freshly mixed AT CUSTOMER'S OWN RISK. sarcH nM cement. products.- - To Plant At Plant .PLANT TICK_ETk ORDER# TRUCK# LOAD SIZE MIX - -SLUMP DATE _ I _ CUSTOMER# SCIOTO P.O.# PROJECT# DELIVERY ADDRESS - ZONE# USE DRIVER r:., ... INSTRUCTIONS - TIME DUET !.r CUMULATIVE ORDERED PRODUCTCODE:-•I DESCRIPTION QUANTITY QUANTITY QUANTITY i. ri��.1 'L.L7e �-tir •�.1 )n (11; ... ,. . I 'ri_ra � 'l.'_'i .1 A. 4' 11, ...i F`,�:r-'r' I', in •AIL, .:I;1 }li [�. !! �c SIGNATURE WARNING OR RECEIPT:- CONCRETE AND ACKNOWLEDGEMENT OF HAZARD! asc meyer p cre a ompany will not assume.. liability orany Property damage or any SUB -TOTAL _ equipment dam go for any deliveries beyond the curb line. F w "--•q TAX \ I' , AU HORRED BY SHIPMENT SUBJECT TO CONDITIQNS>ON, REVERSE. SIDE. TOTAL JN I aOaC"t .!!'ir"aL�c rEr}P[iFTd3fEir FU1dfJ4, (C�CFiSYC1"� S 3r--, h CI e, S l:abi@ ;"l�,'z�SN2oy to, OUr trucks frl, n the str., 4;tpdVer 10 tor,i- rl^" 0l dc:' '% �`: ' 'r piovidod,we rese--w4the nghf to stoj, deliv_r;es unh; conditiOG4 _t g7. ..., I ,. " ilil tY. nc:$ rc`,, j'..I w.Uo for any i05s cauSeao ur,(;reby. Iw. m . fc. tm.y- nd the curo line at the customer or customer representatPl,J 9 regUOrt, X° ), f2d"ix`fdrV L '!;(i. „r i It-d to, ,&i,iwalkz, drlvevvays, buildings, trees, shrubbery, septic tanks and s-Potic systems, inr, jo r ,> f` ,'d, nro ai the nv%h nr's, risk, ., iti; Ca*CJL*�ie4;t xvaes to loiir*baisc said Company for loss of time and equipment b'yreason of such de wiY ,j�;, n,, f ai.°t sa`•'' tin n 'oss said Company from any and aft claims, demands and suits for or un arziar t a h 1 a r, m- u,ar ai used by orismg from pr;vate driveway delivery. I e n i a kr.c rrladYF)s that all material and services shown havebeen received, thattruc+: times s=-o-�r . 4ha, lhr, al ,eater added at the customer's request is shown correctly. CAUTION: The addition of , .+r r+rd. s eonrnelte:-4ri-i—Irid do ability, n, t respon0"bk-for fin+Shed to. suits obtained from this load of concrete; many Important factors aff:Yell o, I,a . in r?r: q41; y of the conipie tedjob are beyond our scope of responsibility and control. r r C', 3,'C" O ^,'i i>••• ;7ar f hn'ate .vill be charged after 8 minutes per Cuntc'yard unto idin tlmE. ifi r C,:Q;!.fOd. i 'gret j flroViCR- 0 S,i.! tdLle wash do+.f faclit/ for oijr trucks and ioC7S al ln;? ,l ac C, 1s'i.'., a , '�,'i f t4':. ` " iG.iE'.' 7t,GCv9; .r Yflis i :YOI :?. ,.Nnen >'tU6:uSf d 3:,Co❑flt� 4�£' Yll. +., , i� 1142 Water Tower Road, Lake Park FL 33403 Office: 1-877-484-9994 b. Fax:561-844-7102, South EastFlorlda DiyisioOispatch: 561_-844-9994 1 Central Florida Division Dispatch: 407-339-5311 Concrete Tested ❑ Yes L7 No LOT Of Water Added at Customer's Cylinders TakenQYes ❑No. Request gals.: to'full load Comments gals.'to, 2/3 load gals.; to. 1/3'load Customers Rep - Water Added NOT RESPONSIBLE FOR WARNING IRRITATION TO THE SYJN AND,EYES ADDITIONAL WATER ADDED TO THIS VARIATION IN COLOR OR Cement polymer or freshly mixed concrete may cause skin injury. Avoid contact with SURFACE DISCOLORATION skin and wash exposed skin areas promptly With water. If any cement, powder or CONCRETE' WILL REDUCE ITS STRENGTH mixture gets into eyes, rinse Immediately and repeatedly with water and get prompt AND DURABILITY. ANY WATER ADDED IS BATCH TIME medical attention. Keep children away from cement powder and all freshly mixed AT CUSTOMER'S OWN RISK. �, cement products. Load To Job On Job Begin Wash To Plant li At: Plant PLANT 'TICKET# ORDER# TRUCCK# LOADS2E MIx - _ SLUMP 'DATE. r'i, i'Il.l�. ( CUBTOMER If SOLDTO P:O:# PROJECT# _ 'DELIVERY ADDRESS ZONE# - USE - DRNER er, ..,. 1 r }r f rr.. '�J I -1`'.1 - .II' -.I r..�7f'- r r•., r. .Y'_i u�. C! Fri. 1NSTRUCTIONV TIME DUE •`r ••• • .•• •r PRODUCTr • • • LANK Y p rill' 1 _f 411 i;"'. . l')'f*.r Ft }', rrs ;1 .:.,f h.Vl�i FI'_I JI "I'.;,f,:, In SIGNATURE WARNING OR RECEIPT - GONG AND ACKNOWLEDGE ENT CF HAZARD asc meyer nc e e ompany wno assumeliability or any property damage or any Q r will equipment damagaa� ' y deliveries beyond the curb fine. SUBTOTAL TAX AUTHORIZED BY SHIPMENT SUBJECT TO CONDITIONS p REVERSEISIDE - TOTAL fit,; L'r'p Y IS MADE OBJECT TO THE FOLLOt" CGSAiDMONS: ,rvrp`� ID0011Jji as-jta�le roadway for our trucks froi?l the streetpavemenl tU fhe plan of ;a2.o�'c,rf Cr „+G' -.. ,xTnc,`l?;9�vaV:ldrP.flO. prOt'ided, wef�5enetl"!pr.I�YiGtO stop delNerles anti COndtti,ats alv=C2Y�',i-Ld17.u'a;'�, i:•=.r_ S , l., %JM,t, "f:'4N!I Od fifiirJ FP.'3y1 ans I for any loss caused thereby. rl Cr,� d., y i� miadz b4eyond the zorb Iine at tf:e customer or custornei t4°pre€>e,nfat}!te's i8(yyUe^t, any rlamdl tea' ,+.CG t,. $d;:d+A',tlk5,. dnva waycs builoings, trees, shrubbery, sepf+c tatllas and septa syt apmu,, In6cn l;nq i,,6 :1. ain 1 r:L'St: nMOI agrees to r8'r"base said Company for lots of time and equipment by mason ofsuch. dC ii'.'4.ry1 sr C Save 'l iir!niesS said Company from any and all claims, demands and suits for Orin accoi,rt eV r• I, � i4 ^L3ni;e(Ca.'£5'd by or ait9lnG,f,GrO'i'1 palyate UnV+?N'ay deflvary. 7!, (',I I 7,i G"rl)p'�a:+at ali rmateflal and service$ shown have been received, that true* times sno Ac cy COIFew, 190 t i -t the amr)unt of water Ladd dat the customers request is shown correctly. CAUTION: The addit!ori of Y';t 'r + oo-:^�etest(:�rnth ar;ci ciurabf;ity.. ,i b''r am not re5ponSibis for finishedresults obtained froin this load of concrete;. mRny important factors i?? eci+ (.i'.b 0 r,; 3.'iy of th eo riplefe, l iob alp beyond our acope of responsibility and control I I� et) i)&r min C:te wlil be charge0 after B minutes per cuoic yard L; nnOadlilC! IlniO "„' EY. C':'fi'dFO I� 4n a sCtabie wash down faic;iity for our tracks and tools of a, 'oree, to pay all cU5t5 and expenses of Co,tiection, Including a reasonable n Ot'25.�fr -ai r If h .; a'''`� Jdl; r t rt I'":};,r i1C$^Cr'.SS r?ftF;^fed 1� irlia Ir}"Vb!88. When due: WaSt dce acoDurits efe 5'.,h -,^ tr p 1-1 +` i-o o' I" ,:i• :n Cast dlle ba;a^Ce. The Customer hereby acknowledges reccip' of the Gcttir Iet:i cxipy :+t{t 3 Cc '.. 1171 r I i � i 1142 Water Tower Road, Lake Park FL 33403 Office:1-877-484-9994 1 Fax:561-844-7,102 South East Florida Division Dispatch: 661-844-9994 / Central Florida Division Dispatch: 407=339-5311 Concrete Tested ❑ Yes ❑ No LOT # Water Added at Customer's Cylinders Taken ❑ Yes ❑ No Request gals. to full load. Comments gals.,,to:213 load gals. to 1/3 load Customer's Rep- Water Added 10 - - - - NOT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL.WATER ADDED TO THIS VARIATION IN COLOR OR Cement polymer or freshly mixed concrete may cause skin Injury. Avoid contact with d CONCRETE WILL REDUCEATSSTRENGTH SURFACE DISCOLORATION skin and. Wash exposed skin areas promptly with water. If any cement powder or mi#ure gets Into eyes, rinse Immediately and repeatedly with water and get prompt AND DURABILITY. ANY WATER ADDED IS medical attention., Keep children away from cement powder and all freshly mixed AT CUSTOMER'S OWN RISK. BATCH TIME _ -, cement products. PLANT TICKET# ORDER ' TRUCK# LOAD SIZE MIX - - - SLUMP :DATE. L ll'tT -'71 ":F; 1" !•. ('')-f1.'tL'!.^^`� CUSTOMER#. SO@TO. - PO„# PROJECTj# . DELIVERY ADDRESS -- ZONE# USE DRIVER 'INSTRUCTIONS TIME DUE • t'...�00 'Ll1. Ui � li'�f l,"!, !''i I_ i•J}:;,.. L, It a: V)'.` "J SIGNATURE OR RECEIPT - CONCRE E-AND ACKNOWLEDGEMENT OF HAZARD WARNING asc meyer onec� u ompany willno assumeliabilityor any prop damage or any SUB -TOTAL.' equipment damaIE lorany deliveries' beyond the curb line. 4 TAIL jc I' r .. _ AUTHORIZED BY - SHIPMENTSUBJECT TO CONDITION 'TQ... tEvERSElSIDE. TOTAL 4 TaA$ DELI Y lG MADE SUBJECT TO THE FOLLM CONDITIWIS, i:) irav'.cl, �,i cuqahic- roa Nwiy for our tract-, irorn the street paver'non' o thp, 06-e of J I ir �dways ore not prov!,Ied, wo ra,4erve,the right duliveria8 until condriello art, '.en ccr: wi ;'�-c hc.d,c,�,poosible ;or anvios-,scauqed thereby V`5— uc;:,vFqj:e rnioQ boyone, the curo line altharCistnrreror customer ropresentative's rqt,i iest,anyd�'rla ! , 1"-t 1.1, F -?a fe drvvevv��ys, butluings, trees, shrubbery, septictunks andscp., a at the ovvrinrs c;.: tumar agrees to elmb L:i se soli C orripar-4 foT ioss of time and equipment by reascin ot suoh 1y to save harrr!cr, --, sdid Company from any aind ail claims, demands and suits for oropi C et % all by ornri5i-q from private dvivewaydelivpry Qi"ocn avkro-',;emdg as that all mate riai and services shown have been received, hat vack tifnes 51 T"),t "q Lae customer's request is shown correctly CAUTIM Toe adds ion cirv'41itor "'.a are ') A iespinbib:L fcrtil,iistlled results obtanod from this load o f concrete, many importFraf actors affeci' - - ), li-4& 1>f fne oninpleta,d job are beyond our scope of iosporisiblitv and control. A •ha pr W ':'.009C4 ni 9L,te WII us Cha;qell after 8 miriuiosporc�Aojc yard urilloed.z,,atime Is ecqedpd� q the o,xi,cr, Pro% loo aSuitablp wash down factity to, out tuxi-�s arW tools at aweesto pay aIi costs and eyoerives of colle(,lion, o&uding q easo-nable atict-rey's it h^r'l reflecfed in this invoico. vvhen duo: Past, due accouots a 1-i 0 T) d P as, t d-iE L -)-lance 1142 Water Tower Road, Lake 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 Concrete Tested ❑ Yes ❑.No LOT # - Water Added atCustomer's Cylinders Taken. ❑ Yes ❑.No Request :gals: to full. load Comments -gals. to. 2/3 load gals. to 113 load Customer's: Rep - Water Adde NOT RESPONSIBLE FOR 'WARNING IRRITATION TO THE' SKIN AND EYES ADDITIONAL WATER ADDED TO THIS VARIATION IN COLOR OR SURFACE DISCOLORATION Cement polymer or freshly mixed concrete may cause skin Iniury..Ayoid contact with: skin and wash exposed skin areas promptly with water. If any cement powder or CONCRETE WILL REDUCE ITS STRENGTH mixture gets into eyes, rinse immediately and repeatedly with water and got prompt attention. Keep children away from cement powder and all freshly mixed AND DURABILITY. ANY WATER ADDED IS BATCH TIME cement cement products. AT CUSTOMER'S OWN RISK. PCANT -TICKET# ORDERu 'TRUCE# LOAD SIZE MIX"_- SLUMP - DATE $ Jr+r :I ;/1C1✓" CUSTOMER# SOLDTO P.O. $ PROJECT# 'i.P.l'! ,ti'I1: I'ir �"f!r ri L;�lir ;'1F lit .':d r >'• D91LVERY ADDRESS. ZONE# USE DRIVER INSTRUCTIONS_ TIME DUE •.rCUMULATIVE ORDERED PRODUCT•rE PRODUCT DESCRIPTION ! QUANTITY QUANTITY 1�,..'I t"..(J;1 IYb'Ti?i: f"''" `s3.__. ._-. "1'7� •I ,•' 1., , '<t 7r. l'•:d 1' e C : ±. F.t;ri a? . ,ir:. -- 1+.. IGNATURE WARNING. RRECEIPT- CONCRETEAND ACKNOWLEDGEMENT OF HAZARD asc meyer Concr9tiSnCompany will not assume liability for any property damage or any SUB -TOTAL equipment damagmfof any deliveries beyond the curb line. TAX \> AUTHORIZED By SHIPMENT SUBJECT TO CONDITIONS O .-REVERSE SIDE. TOTAL Fr -Pll ViSMAUESUBJECTTOTHE FOLLO" CONDITIONSi i arrt':JG to P"000je a suitable' roadway for our trucks from the strceA pavernent to tnq placo of d,<. vqpj rf lwtui ta;: lcl roadways aro no, pr(Wcred, we i eservethr right to stop deliveries until condi qre re rn -646 & (I,, "".h I be Ileld rcspons:ble for any loss caused thereby. rna'h' b"ondthe curt line at the customer or vustomer represonlaiwe's relLes', anN, ou; 1q1L I,Mrlso to, s,dco.a!k,�. duveways, buildings, trees, shrubbery, septic tanks end septic systems. ii-iij iing I? jra n'. AL aic at -me owl :ers risk. to rermbirse said Comparty for'loss of time and equipmunt by reason of sucli del+„ ail , -j --.'a -j,ry j-r.6 save harml.-,ssaid Company from any and all claims, damands and suits for or or, ar,(-,jj-!f i .f 0 1.1 :F rnarurr-)t vEused by cr, anstng from private driveway delivery. :ii Ar GLYM'M'. acknowl dgcs tt;at all matcl-W and services shown have ll received, that tnck times sho,,,vr a(ji uo ri u-ft. 7ti I �k il� vlount of water added at thectistorners; request is shown correctly. CAUTION: The addition 0' r —Lu- st,cn-itlr and durability, ll It �ke are not rosp-1.'--l5!Uo k)r finished results obtained ftcm this load of concrete; rnany Important factors xdecliitij fto olt"'1: ii',' -,f the crn"Votedioto are beyond our scope of responsibility and control. A of S OG pernr!nure will be charged after 8 minutes per cubic yard unloading tirne is eueoded. f rhe (Atsfo,:ret aorc� is provi'de a, suitable wash down facility for our trucks and loo!8 at the piece of de6v-,'� , al a "".ofr :I *';G(PlOy F'grec'-s tr'bay all costs and exponsesO collection, mc!udlng aterison;,blo aftcrne.y sliay. if 11- 'or in,, rnex'laridiso iafiacted in this invorro, when due Past due acccunfzaro SLibloct to a I Z.- -1 V vr',,on .f c. uTil:,qct ra�:;t due balwice, -f ho customer hereby ackrowlodgr>s receipt Of the G0"Pp!e*' (701) LrL"' JMCE=P 1142 Water Tower Road, Lake Park FL 33403. Office:1-877-484-9994 /' Fax: -561-844-7102 3 South East Florida Division Dispatch: 561-844-9994 / Central Florida Division Dispatch: 407-339-5311 (A4 Concrete, Tested ❑.Yes ❑,No LOT # Water Added at Customer's Cylinders. Taken E3 Yes ❑No Request - gals. to full .load Comments gals. to 2/3 load to 113 load p r T , � ,, .., _ _v .:gals., Customer's Rep — Water Added NOT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL WATER ADDED TO THIS VARIATION IN COLOR OR Cement polymer or freshly mixed concrete may cause skin injury. Avoid contact with skin and wash exposed; skin areas promptly with water. If any cement powder or CONCRETE WILL REDUCE' ITS STRENGTH SURFACE DISCOLORATION mixture gets into eyes, rinse immediately and repeatedly with Water and get prompt medical'attenhon. Keep children away from cement powder and: all freshly mixed cement products'. AND DURABILITY. ANY WATER ADDED IS AT CUSTOMER'S OWN RISK. BATCH TIME. y Load To Job • ..To Plant At Plant i (PLANT - TICKET# - ORDER '# TRUCK # LOAD SEE MIX' SLUMP DATE 1C+`r r"i is I"1. ,I 1,^1 1;t1 � 3'. ',.1 'Y-. �� `r�i s::?i;; CUSTOMER :# SOLDTO P.O. #. `PROJECT#. DELIVERY ADDRESS - - - ZONE#' USE - DRIVER c - _ - TIME DVE--t _INSTRUCTIONS ORDERED PRODUCT CODE PRODUCT DESCRIPTION 0 1 QUANTITY 4'' 777 SIGNATURE WARNING OR RECEIPT - GONG TE AND ACKNOWLEDGEMENT OF.HAZARD asc meyer rete"mosey win _ not assume. Ia i I y or any property damage or any SUB -TOTAL equipment a ge for any deliveries beyond the curb line. TAX- AUTHORIZED BY SHIPMENT SUBJECT TO CONITQ t!. SION REVERSE SIDE, TOTAL ly DA s "E-- N to MADE GUBJECT TO THE FOl LOV CONDITION& ;nr,, a 3:? is pioodS n s _,itabie roadway for oti, trucks from the street pavertlen:to the p%co o+ dal of o' i I -txo .. '.at-ka!C,l:dwaysa notprovidcd,,we reserve the rightto.Vop delivene? Until conditww3 arr+ re€7oc(ftd a"::'1''oVic" )i I,; ill U^ held re-po!-is'b e fcr any loss caused thereby. S' i S h_I'fic.UE.rYI,in?lde hoyotid the Cuib line atthe customerorcustover representatives rcquest, any 0 ` vC� ill iti C. W s'r ndv ;L s, driveways, buildings, trees, shrubbery, septic tanks and septic syStemr In?'i4iIC4Gr'i;j'il",E+ j ritih^o+v7ersrisk I 9 0u h�, Clrai � ici :gieen to reimburse said Company for loss of time and equipment by reason of such delh;t flf a'wc +v of +ni;, aru save harmless said Company from any and all claims, demands and suits for or on acca:.,4lf1f o• o ,-,n . VI ;mar by or arft;inq trvm private driveway deanery. I, f u older aCKI:cv edges that a'I mate and services shown have been received, that truck timos shoom IP n rc ar4. rr ,hey mtojnt of water added at the customers request is shown correctry. CAUTION: The. at:160op of 4Vatar r ct s t;0:�t`.r2t03t;'inflth ,=:nd dl""lflbl!itH. - ad � are not responcibk; for finished results obtained from this load of concrete,, many important factors aiicc t Nn ct , 1 ',^l; c u',pit,, c,f the cornpieted lab are beyond our Scope of responsibility and control Atha-�rG of yt n0 t) `i mmute will re charged after 8 minutes per cubic ya€'d.Unloadfng time i� Exceeded. I r r:-iStomer egmes to prov:ft a :suitable wash down facility for our trucks and tools at the plat o of del"o-'4' Ji 1 J".'='o1. +1 i; CLI!: 'D`n t`cmby pgrees le pay aii costs and 2Xporses of 00ilection: ;nc!uding a. rP.BSonl ible rittorr'£1`S f-'e, a f;:, +..,a' ` l + pay fl Pth i,-s diandise ref ec'red ir, Ihis lnVoice, when due. Past due accounts are sut.,lect to a 1-4i2t+ orx',."•: `i` dole baldncu. Thp.. cW c—.ner hereby acknowledges rocclpt of ttl l oniplk re ocpVYI ski . ..,. _ 4$ 1142' Water Tower Road, Lake Park FL 33403 Office: t-877 48.C9994 / Fax:561-844-7102 South East Florida Division Dispatch: 561-844-9994 / Central Florida Division Dispatch:407-339.5311 1 � . r. } i '1 P • 1 Concrete Tested ❑'Yes. El No • LOT Water Added at Customer's Cylinders Taken FJrYes ❑ No Request. gals to full. load Comments: gals. to 2/3 load to t/3•load ttr ir; -: �.. t ;1 ,.. -gals. • Customer's Rep - Water Added NOT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES - ADDITIONAL WATER ADDED TO THIS VARIATION. IN COLOR OR Cement polymer or freshly mixed concrete may cause skin injury. Avoid contact with SURFACE DISCOLORATION skfn and wash exposed skin areas promptly wth water. If zany cement powder or CONCRETE WILL REDUCE ITS STRENGTH .mixture gets into eyes, rinse immediately and repeatedly with water and got; prompt medical attention. Keep children away from cement powder and all freshly mixed AND DURABILITY. ANY WATER ADDED IS TIME BATCH. cement products. . AT CUSTOMER'S OWN RISK. Do Begin Pour Begin Wash To Plant At Plant � t—N PLANT TICKETI/ ORDER # - TRUCK# LOAD SIZE mix SLUMP DATE i I- r I Pi - -CUSTOMER # SCIOTO P.O. # . PROJECT# ( /' _ DELIVERY ADDRESS ZONE# USE DRIVER ' INSTRUCTIONS - - TIME DUE PRODUCT DESCRIPTION U.OmW r7,IY. �t, .. ;il; �If lrt, ,., .._4' -I o�r•.ln� .,s SIGNATURE WARNING OR RECEIPT-CONCR AND ACKNOWLEDGEMENT OF HAZARD asc meyer oq r mpany wr no assume liability for any property damage or any SUB -TOTAL equipment damor iideliveries beyond the curb line. y A t I TAX. AUT ORIZED:BY SHIPMENTS BJECT T CONDITIONSOi VERSE SIDE. TOTAL 11419 i1E VE S MADE SUOJECT TO THE FOLLO'WiN )IND T ONT. ,ricr agfP—a,, to. pro✓t Yfe➢a liitLq Sfe ioa,,(way'for'OUr trueMfrom th(3 street paver'em toflre p`uco of ri-Y,'a.. a('-` _ .aor(r •,; .a ,ay.:a r aot provided we, esprve the rightto stop d+el.veries until Condit�pos ar., remar.en dr £', '-- b� hw'4d re ponsVc fx any loss caused topreby. r,( ivery is froria beyond the curb lineat the., customer or customer representative's reade5f, any(1`ar a 's Itcl'.d'r�n bill a' II tilted ti,, C rr y1RL'ISti. Ci rr✓e4'tays, bu Mings. tree:$: shrubbery, septic ton' Stand septic 5}FtF,C; fr,;'lur?ntiCl hr : "IrPri i to reirir+urse said C 7lpanyfor loss of lode and equipment by rea,on of such ri,>iiva y, 7, ha ml„Yi> sold Company ffom any, and all claims, demands and suits for Ur or, n('LY1V r G, :'r ,, ny" r a 1s ng ff orri private driveway. o liven/. urbarraratunajr.i rlgasthat:ill material and services shown have been received .that truck tip iesshowr; xroo(;-,ern a�- i' ra the amount of water added at the customers_ request is shown correctly. CAUTION, The addibc:: of V. rf r ro if, xr cr: t2 si Grath, and dufah;Mv. 5 1 to 9"u wit rs<p ?; s;t;(>. for finished results obtained from this load of concrete; many importanttar+,r,r . aflwa ; ou Il t' r.i` nd ;01 Y 624s cornp�i>todjob arc, beyond our ;trope al responsibility and Control. Ili rli ('if '1 311 p bans argrdd aftei 8 minutes per cablc yard Unloading tjmod5 r Xc'sded. i ' Ileti. r, �., `itC,C Pr;;rr`�:MtCrp;.ry+ltiYcdS'L'3:ah/cL'Jash doY/rt faCl�Itjr'fpt'QIJItr;It;Pr-.S and tUof3 a!t"�'r;i tee !.;fw�r:il'd ,J fill :1";"i `.�. oL" t` t r:: E JI f',arer?<: ;O rryy &+1 Ciiot9 dad f:'XpFnSP,S Of CCilleot!On, InGJdl rt98 '3'?,>, ,<'bir dCi � - C ;, :" h ;� �" i , i „ileoted in tial5 mvCA-f), whcn clue. f ast au-- accounts r ro f1 r L+e71"w ! C p,..St 6.w bai' rxc, The cuatoTner hereby acknowledge,' of th,d cnar �e4r t„ ,.'i of i ;'+ �i :j 'I ill 1 di