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CONCRETE PAPERS
AlOW 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 Di, islop. Dispatch 407-339-5311 'v Concrete Tested ❑ Yes No; - LOT if tWater Added at Customer's Cylinders Taken ❑..Yes ❑No > Request .gals. to full load' Comments r "' gals. to 213 load - t —gals. to 113 load -- - - -- - - -- - - BY St. Lucie County' Cust _ er'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. It 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 BATCH TIME. medical attention. Keep children away from cement powder and all freshly mixed AT CUSTOMER'S OWN RISK. cement products:. ;r - - - Load To Job On Job Beg n our A, M.Riiiiiiiiii To Plant At Plant r.. .•fj[ •f,: 77 PLAN_ f K. #: OR E # TRUCKN LOAD SIZE: Mlx. SLUMP DATE CUSTOMER# SOLDTO PO.# - PROJECT# DELIVERYADDRESS ZONE# USE DRIVER I � INSTRUCTIONS- - - - - TIME. DUE 1j a SIGNATURE--ARRECEIPT-: WARNING CONCRETE ANU7GKNR.WLE ENT,OF. HAZARD .: mesa meyer cr rto ompany,an_ no ssume. la I y or any grope amage arany q� SU8�7OTAL equipment of a a r anV tl@it6ries beyo�ltl the curb line.. r lF \\ TAX l AUTHORIZER RY SHIPMEN T CONDIHU - REVERSE BIU i TOTAL .SUBJECT [TH, Is D FRY iS MADE SUBJE�4pT TO THE FOLLxjvv,NGCONDITIONSi. U ljck�or M the Str(rLt paVtOn"PtItto tile P1.10P of d6vory —,-Io�IoT agre,�-,s to wov�re o soitaoiejoadway for our 10 ao,:- toaj,;.Uys are notprQvidad, wo riserve the right to stop deliveries until cojidibxisarti rernocjttd Wu. is Ah n dr-,�! v��, �s n; zd e s- }cnt V e; c wt tine ai th e customer of cuslome i represer) Wivu's mq U £Si, (ally da S 1" n 1 r cd ! k", eider ; 'Ks o vv (, VV% ys, b, i ii di n g s. trees, shrubbery, septic tanks and -.;e pfic sys! erris in -1 L', it to ol a v risk at I rC, casofrc,,, rjcss to re;mburoe Cornpany for loss of time and oquipment by reason 01 su3r. , j S ave I -q' C.nincany from any and all Claims. demands and suik, for or on acf-Iurlt o tqcarn-,;r ca.xscxi3y or ansing from Drivato driveway delivery, 'f,,at ;11 maie,ial and services shown have been received that trUCK VMCI Sh,)Vm. rC,001,% tf ,t th& nrrcunt of redts= added LN) cu810mer's reqUOSt i$ shown correctly. CAUT !ON: The addjtion. 0 y Jr 8Fe .-1 re-SPOrl,"ibI9 f0t finiS115d 'eSUI% obtained from this load of concrete, many importaotfactoes Ofe -,,ing th- L!I!,mago �iu,iAy c' the ;'x-peleo Joh are beyordour scope of tes;)onsibility and control, A 0,ame ci -ar rlmuto Wi ')g- d-,ar ge,! after 8 minuios per cubir. yard jr!o9rIfiiq time i--exceudr-d ilg,`Q', tC P"),jioe r, s:iitabls wash doo,n taoRy fcr our trucks and tool , at thu placZ of foil. v)"]! r),tf I -ifl costs and oyriqnsps of coilection, inciurling a reafonablo aticrre I S ft'e, 1! 1 i i ' L,, pav,:,, mc, e+eclel in flc;rwoiGu,when due: Flastduc accounts aie &ib.;(-,Ito a lzil L- U"JaZ' DLn: GLe I-XI15n0'e �he customer hprel)y acknov.,Ied-jes iticeipi of tfizl cui olettu c:)n ''of ,:r,, Lbr-racr. J � t 10E 1142 Water Tower Road, Lake Park FL 33403 Office:1-877-484-9994 1 Fax:561-844-7102 yi ' South East Florida Division Dispatch:)581, 844-9994 L Central FloridaDivision Dispatch: 407-339-5311 l i i r l L.' r I I �1; 1 y r � r• I„ Concrete Tested p Yes ©N LOT # Water Added at Customer's Cylinders Taken ❑ Yes 0 0 Request 'gals. to full load Comments ff y�,-- � .gals. to 2/3 load gals, to 113.load- stomer's, Vep - water Added NOT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND .EYES ADDITIONAL WATER ADDED TO THIS VARIATION IN COLORRATIO p skin antl wash exposed skinzareas promptly wicause h water.nIfnany em nt contact or CONCRETE, WILL'REDUCEJTS STRENGTH SURFACE DISCOLORATION rrmizturo gets Into eyes, rinse immediatoly 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. .cement products. 0AT£H TIME Begin Wash To Plant PLANT' TICKET'# ORDER# IRUCK# LOAD SIZE MIX SLUMP DATE CUSTOMER - SOLDTO P.O.# PROJECT# I i,t` n. l'ii. I:j1r I"- ill I,•' r _ OELIVERVADDRESS _ - _ ZONE# USE DRIVER. INSTRUCTIONS TIME DUE_ •I LIMULATIVE COUANTITY ORDERED PRODUCT•• •!I UNIT PRICE AMOUNT QUANTITY • 0 .., +;1 �I LJ.Jhq `l Ir.'4. rC!.: 'II! i"v.• .,.. , ,. ..,i., =. 'SI. TUBE DR'RECEt - ONCRETE AND ACKNOWLEDGEMENT-0F HAZARD WARNING asc m¢y - oncrete omp wi no assumeliability orany proper ydamage . or any SUB -TOTAL. - t equiptq�nt da a e for any d eriesTio _ he curb line. [ TAX AUTHORIZED By SHIPMENT SUBJECT TO CO DITIONS ON REVERSESIDE. - TOTAL 1 I TN'kta 3c -RY I-SMAD SU!3uFs:TTO THE FOLL(,—,4G CONOI'f'IONS. :;_ •� lc provt:, a swta'blE? roadway for our #fUCks from the Street pawernen# to th B,pi'r0t of dAlivpry Jf Cl tc:"iai. or. t.0 cawe,sa_reno^nrcvided..roereserve the right tnstop deliveries uhtiicttndificnsare r€;todicrt�nd.? B:Ch e: cart, c;tc,'c }}n..r will he helO resaonsifale for any loss caused thereby. I i t I be Jot; -, n7au bey ,id ti1B curb line at tf18;Ci95t{lmef Of cUStOavaet rP.k?feEenfdfiVO'S feglle,5t, any duo. alas ink;-6,;l`�. `3idev1c1:•ks; driveways, buildings, trees, shrubbery, soptic tanks and septic systems, inciticing'!,c. d f : = are of ine o vnor5 r!sk. m I� ii; c kisto isf agrees in re: m^urse said Cornpa }y for loss of Vnie end equipment by reason otcuo de,iva;ey, and afsa r. )de,rrtnity and save harmless said Company from any and all claims, demands and suits for or on account of or in, €,nv maarsr cn.-od'by ;,r ar;sing trom private driveway delivery. G.I to. rt .r acl<rut ledges tYaat all material and services shown have been received, that truck times shown eire correct, anc that the atic ;rtt of water added at the customers request is shown correctly. CAUTION, The addition of water reduc-s co; c., tc;'strerrgt;' and durarility. i i 5. We are riot responsible forfit, shod rosults obtained from this load of coticrete;tnanyimportantfacCorg t'ffiectirtg the rd'Yin,ate tlu,vihy of the competed job are beyond our scope of responsibility and control. k,, A crlargH & `z1.00 per rAnute will be charged after 8 minutes per cubic yard unloading time is exceeded. i; C:t :,Oiler agfees Yo provide a suitable Wash down tat;,I'ty for'our trUCXG and tools at ILL r"hr''lt?reliy ng:P28 0 pay all Ct3stti and 2Y.p YlE4u-. 0f COIi6.GtlOn, including a r2Asonable 3tfQfiiE:v$fGe, ii no;>'�5'� ?' 'r, pa) fur r'lpPC65 i, ni,;a reflected In this h;.'Jone, when di-e. Past .doe accoUr.S AI'e s,:b at t to a 1-if& F,s.1;. aid,,.std.reba'alca t'he us:r,�erhereby�cknowlegEasrer, iptefi erornclececCN;+ i' larr„tu.t. ' 1 1 1 •.. . , l'yC 1' A b � i'i 1142 Water Tower Road, Lake Park FL 33403 r f ^,, f { office:1-877-484-9994 / Fax: 561 -844-7102 J Xi` §outh East Florida Division Dispatch: 561-844-9994 6 Central Florida Division Dispatch: 407-339-5311 ,r 'Concrete Tested ❑Yes [I No LOT'# /a "�'��,: Water Added st•Customer's .Cylinders'Taken ❑ Yes Fl No I ' k.rj I ,.LRequest % f gals.. to full load 'Comments gals. to 213load gals. to 1/3 load - j - -- 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 SURFACEDISCOLORATION. - mixture gets into eyes, rinse immediately and repeatedly with water and get prompt AND DURABILITY. ANY WATER ADDED IS BATCR 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 To Plant, At Plant f r�41 PLANT TICKET# ORDER# TRUCK It LOADSIZE 'mix SLUMP DATE CUSTOMER# SOLD'TO- P.O.# PROJECT#. DELIVERY ADDRESS-' - - - ZONE# USE DRIVER. I' 4, 'INSTRUCTIONS' - - - - TIME DUE - - ' 1 r • • • • OR RECEIPT -CONTRETEEAND ACKNOWLEDGEMENT OF HA7ARO-WARNING SIGNATURE ascruneyer'Concrove' ompany will not assume Hannny, Tor any properly carnage or any equipmentdam�nge fo 'any ddliveries beyond the curb line.. SU8-TOTAL. �-,��.,r � /..'=�—'•w TAX - _ - ADTHOR2E13:BY SHIPMENT. SUBJECT TO CONDITIONS ON REVERSE SIDE. 1 TOTAL H 4�. •..� l n nS I i fu t n,' ' .'00 ."P?.notpiorded'.V..'e".enitrrM?oigjritw•omuC,tBtvwE.Urti:Cot Ijh!a{r arg.E''fiCin'✓C i+, "•,+ A\\ . i:r;. ;..., t I r^• l +'. i; r „j 'r.SC(3f i ,b`8 tG - ny MCab u'�..ISP.d t(1QfFs4Y, , r tt ).,J4anti eacurbin@ as 3hac,'astoyi ro: GJGtfini rSPp£ FOtB.YM o.. ... rc r;lli8x t, _ `�figC"Jr _ .d' r._�. .� .. ... 7 .....,.. Ci r.:+... ;-:y5: bdI d "P3v trees slytio ein aepl C tar g' and vepTG Tijs 1 1fat.. ._ We" NEW _ n : '^.'^,I .; 3QIC'' Cd+'7#N`'&n' o tot doss of tMrrtr6 and ugppnierlt by reason of no; v blS`VI_ n i Ir,Q W10 swan moss saan 13(I^,`pony from any ond all dams. ouma'nds ani sale for or an r.....,lii iof, r t `TC N °?jA, Cr i'V i'C r(T urSvafeo V£t:av{TC�Ivenj. ' C v l .-PAPNJ iX i Ai anC, se, i tra downhave been C ce 42C' tot rl F tirnk shJ -:' cr., G. ti t1 00-1 atte -.:U o Ers roquestissbo ,'—?;mctl}a GAHJrv,v,_ ., „r•'�-.::.ff,'On 711y rATy tiRS L. °ilf „nQKorn t l Magi at conore{&:P"&tt}r rrt +p1nP F'YG ii� F'ti��i �fY'✓ „^n n.,r swgP of rr4spon ibi#tty and & ntYoL . . l,I' tN. 'P(;t'L1r c--' .c.: d'quIU"es per coo iL: 'iar.,!D `SEJw ieci,' ..d,-C.. ri _•s:da11.:".9)iovvojzh '+''.. 1a <_ci.ri ru,ti t.:.f^,r..., ,vt Lr-.it 'r ^,ivC.a. ... �r •i<'r,, .. ilp, ' _ .,`'� 7, ,. �. ,.d; GC .,.,r it SaY..,6r::G'G Cti CO°E.iu_...n ,.r -CI F) -d 11 ,E•1i.1'Y- 1� ly'hnllc Will ' V Whisavow Mar du Ngt am d f i no its c, _ an i rW ,7 j A I v to QI ! Y IV r Pr r. Aff, , r � r� `'.v �! i a•Zb i�� °rr .r�IaTtC fs I B' � -_ 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 [I Yes El No .LOT# Wateit"Added at Customer's Cylinders Taken ❑.Yes ❑No / pecluest galsto full Comments 213load -gals. to 213 load gals. to 1/3 load _ - . Customer's Rep - Water Added NOT RESPONSIBLE FOH 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 : ITSSTRENGTH SURFACE DISCOLORATION 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. r. J cement products. Load To Job On Job Begin Pour Begin Wash ;PLANT TICKET# ORDERk TRUCK.p LOADSIZE 'MIX. SLUMP DATE 114r:4 L r.,::':'1.1ist CUSTOMER k SOLDTO P.O. PROJECT# 'DELIVERY ADDRESS - - - TONEN USE DRIVER r;:' - °- INSTRUCTIONS TIME DUE •.r •-r r -•r •rPRODUCT DESCRIPTION Uw() OUNT r r SIGNATURE-OR'RECEIPT WARNING - CONCRETE' D ACKNOWLED EMENT OF HAZARD asc meyer oncre�4 ompanyyu, no 'assumg-la 11 orany proper y amage or any SUB -TOTAL - eq pmerttyr(amage.tdr any ,det ra�trdj nd the curb line. rAUTHORIZED BY _. SHIPME,.T U.,�BJEET V CONUITIOtNS ON -REVERSE SIDE. TOTAL' ' T H[KY' :-RY IS MADE SUBJECT TO THE FOLLl... AG CONDITIONS; r'usiomer a;rxs to provide a suitable roadway for our trucks from the street pavement to the place of detryery c'rrlaie,iaM1 uc" t,ltab' n ro.advdsys are not provided, we reserve the right tostop del'vedes until conditions are remadisa and, i uoh ef!t, GLSterrer will b,' held, espons'bie for any loss caused thereby I �3. `N'I i Jr': dc;iveq is made ,eyoi d the curb line. at the customer or customer representative's request, any danNages L%' riot tlmited to. sidewaiks, driveways, buildings, trees, Shrubbery, septic tanks and septic systems,incaludinq the drein fled, rsre at the owner's risk. The custon'ic; agrees to reimburse said Company for lossof time and equipment by reason of such delivirry, and_a;so to rdomml.fy and save harmlesr; said Company from any and all claims, demands and suits for or onaceeu"t of or il, any manner caarsed by or arising from private driveway dolivery. Li 4, l.ustonter arknow!eduesthat all material and services shown have been received. that truck times shotyn;a, e carrect, .�rd ft rat the amount of water added at the customer's request is shown correctly. CAUTION: The addition ot,water reduces corirrete strength aed durability.: i 5. We are nni responsible for finished results obtained from this loan of concrete; many important factors af:e8img the uiti(Vale quality of the completed job are beyond bur scope of responsibility and control. E. A charge, of $1.00 poi onmotvwil'l be charged after 8 minutes per cubic yard unloading time is exceeded. a costo*ner agroesto provtd-a suitable Wash down facility for our trucks and tools at the mace of delivery of m=turial. i �ia to pay off costs and expensec of collection, inciuding a ieasonalhle attorrie1p'ec',i'tie ;:f:3G rnr, -", .:t:. !. o r'J'ilected Er this invoice. when due. Past due:,rcoums are ;"bject t6 .c ll'i'p:i 1"a.. cult, bad?-nce Tne eusto-ni r hereby acknowledges rece'pt of"'le com.piele coal of i J S � fa A4Z I .• _ 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 �� iSalll`t �,g,.;nalrltPl }II r�� ,I J_ l Concrete. Tested ',Q Yes E] No LOT # Water Added at Customer's Cylinders Taken Yes [I No Request gals. to full load Comments - gals. to 2/3 load 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 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 ayes, rinse immediately and repeatedly with water and get prompt medical attention. Keep children away from cement powder and all freshly mixed cement products. .AND DURABILITY. ANY WATER ADDED IS AT CUSYOMER'S OWN RISK. BATCH TIME De in Pour Begin Wash To Plant At Plant j.MIX .PLANT TICKET# ORDER tt TRUCK # LOAD SIZE. SLUMP DATE I CUSTOMER BY SOLD TO - P:O.a PROJECTS DECIVERYADDRESS' ZONEu USE DRIVER INSTRUCTIONS - TIME DUE PRODUCT CODE PRODUCT DESCRIPTION U.O.M. UNIT PRICE! AMOUNT SIGNATURE WARNING -OR RECEIPT - CONCRETE•AND ACKNOWLEDGEMENT OF H RD. asc meyer oncrete Company wjji nor assyyme. unialliTtor any props y came or any equipment damage. for any deliveries beyond the curb Ilno,_ ' SUBTOTAL TAX VnVAI AUTHORIZEDGY S IPMENT Sl1R.IFCT O CnNDITIONR nN RFVFRRF RI F. l Eon', 1341AAFL'SUENFr7`:OIKEFfll __.1!!�dlaC' _ I . _.... &W api.._-natkwxmd,d.., weNet.i,'�y^ht0.iv��;;;��,co,�.i.:nt,LUinJILa?�,....F�,17:.a,d. -... n ,.mays.. u t _o s, toe, MinnWent cep_c lu' "n a ad SOPM s, '+7ny h' ., .,...... for to;_ o; t:r .a! a fly ;ru_b 7 ct ..., c ad� , pan, an}' and all r.l it o, de ntands ericl sttif: it,,r tz �i,� ,arilt ' oTwp ' �,�vaie ��v;t3y�Yli•✓�%. rT SAV'r1; 0 ,-:.c th .-c+, Ervee_ahawxYiaveto-�nre�?vad,tl��tnF,� n� . ;; o 03 _ to .. um r s eaue s shorn—wecty, )A.j�,C 1. ..: ar ., ,_„ . Yl is �'^., il'i {j I ,a')if•Y�ir i t . _ To =, M, Fra sl i FsuR AMirydtamAshad W canues; many vi,p,;an; fackms MOW o- �,_ mka ' iek 7 hu is boy nd u . cpe a*'?<:q:)vn^itr' aixd cantmi pe, fvlLx.(; yard oJo?cijP �trv, �-xr ;w, 1 & o nAw.i z &AW vaso Awn QcMy hw a3r iai r. ,, .t; at 0, ...., in J',.. =1 ivoicw When Q v,. raw due iL„a ns art! ,,: Y . Q v Q w . ,..S. _ _ [,'. ,.La _,-, I �.=iitll'i��,l !^.,(313Y �� 3;.!r''t� � �nIS� ( E'.. .,,i.D�•�'f ']D� . ._.. . Fir l 14 CONCRETE COMPANY OF FLORIDA, INC. 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 bivision D)spatch:407-339-5311 Concrete Tested. ❑ Yes. ❑No LOT # Water Added at Customer's Cylinders Taken ❑ Yes ❑Wo Request. gals. to full load Comments _ gals:.. to 2/3`load gals. to W load QUstomer's: Rep - Water.Added. NOT RESPONSIBLE' FOR WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL WATER ADDED TO THIS VARIATION IN COLOR OR Cement pdymer or freshly mixed concrete may cause skin Inlury. Avoid contact with, SURFACE DISCOLORATION skin and wash exposed skin areas promptly with water If any cement powder or CONCRETE WILL REDUCE ITS STRENGTH mndure gets into eyes,. fine 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 cement products, AT CUSTOMER'S OWN RISK. On Job I Begin Pour Begin Wash r.m W M., POINT 'TIC ETV ORDER # TRUCK # LOAD SIZE MIX, SLUMP DATE CUSTOMER :# SOLDTO- P,O:# PRO:IECT# G - DELIVERY ADDRESS. ZONE# USE - - DRIVER IiI , rl I,PY i..i 1:r) 44 . ` 1 . :2CIi rY- -lltnt INSTRUCTIONS. - :,. _ - TIME DUE PRODUCT CODE PRODUCT DESCRIPTION U4O.M. UNIT PRICE AMOUNT [♦44fTRr "k;r711"11iitl;lf,t £1 ^:.d.vr .. 1.4'11 15v=SO SIGNATURE WARNING OR'RECEIPT'; CONCRETE AND ACKNOWLEDGEMENT OF,HAZARD asc meyer concrete ompanywr not assume nobilityfor r.any property amage or any SUB -TOTAL. equipment damage for any deliveries beyond the curb line. - TAX AUTHORIZED BY SHIPMENT SUBJECT TO CONDITIONS ON REVERSE SIDE. - TOTAL FY IS MACE SUBJECT TO THE FGLLG...lX CON'BiTI^.,NSr .i �u-�4'r'me'" M't[`prOV'd'?a.I'Q'ad'.lay inrCiur tTl:CiC3 from the street pa`Jem(^nf!o the "r1i3CF Cf CE',`t'^,.�C,i ' ^r,`.' r91",.n icad4 ay.' ary rcti proi:ded, Vre reserve the lightto stop del'Veriers anti; condgionS are rem,$di'm eI.0 I _ »i: eutLon or Wi If c , held r1 eccecible rorany loss caused thereby. I u l.�cn 6cl ?r4' ,'a` rrr. c .^.e'yrjnd trle curb line at the customer or customer representative's request, any dam I as, ic'udt' i r,ut i,r lied t ., rlA.rzlks, driveways, buildings, trees, shrubbF ry, septic tanks and septic systems, mclud,nq the e ell feld,i:.re atti,f or,nc''srisk. u custJ r r a'7re: s to r-;rnb;rse said Company fw loss of time and equipment by reason of such do!I'Ytt4 d -1 "5o is delDrity and ,ave harm!ces said Company from any and all claims, demands and suits for or on arcriynt r ; o, ri : ny -. nnor eaussd by or arlsmg from private driveway delivery. =!. i;JSCRmer :Gi4np\Vledceu that Jai materialand SF3rViC05 shown have Gee!'1 fOC$IVBd', that truck times ShONIn a"P. Cgrf~�ci ?r'c. that the amount of+roaYer arjdBd at the customer's request, is shown correctly. CAUTION: The addition vl vtaici redur e concarate ;tr ng'';anddura"!hty kNe ar nat responslbla forYrished results obtained from tfiIS load of ooncreyte many irflportant factors aff�,c, ,q if e i:'t,:- at. iu-1 v o` t e coniplated job are beyond our scope of responsibility and control. o" LS-1.00')er minute t• ibe charged aftef 8 minutes per cubic yard unloading time is exceLdad: r ltle c;,stn-ic.- to ;,r;,,r;de a suitable wash down facility for air trucks anfJ Ycw1s 3t the place of deli` ery Iratcj:'il herf.b Si'3rF^i; io ,;-y i<II co5ts,'. and oxpens^s of c ollection, InclutVrg a rEraSJnab'� aifOrne', t.rfi: i' il;: S"c r 1c ha li'c inr`-rh a^.'}BSc rorloved !.l t'vs Inveirp when due: Ras', duo ar curi` m a,e suixect to _! IIt' 12 ", a c,s,! ^;ip b; t nb custe;nar t,areby ack Iovat dyes rer-;pt of i^,e i ompIctr r, _V .I WNWEI 1142 Water Tower Road, Lake Park FL 33403 Office:1-877-484-9994 1 Fazf561-844-7102 South East Florida Division Dispatch: 561-844-9994 / Central Florida Division Dspatchs 407-339-5311 Concrete Tested ❑Yes ❑ No LOT ' Water Added at Customer's Cylinders. Taken Fl Yes ❑ No Request gals:. to: full load Comments -gals. to 2/3. load ,gals.. to 1/3 load - Customer's Rep - Water Added NOT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL WATER ADDED 'TOTHIS 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 andrepeatedly 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. Load To Job On Job Begin Pour Begin Wash_ "u I=.- E, PLANT TICKET# OROER.# TRUCK# LOAD SIZE MIX SLUMP' 'DATE , 1 (i!•'a '.•lI';1 t'I i' f ,' I (�r... ` •' .,.1 , i � r; }`_ i;n+41r' _ _, -'tfi, , CUSTOMER # SOLDTO P.O,:# _PROJECT# 1;ai:r, a;li{-i{;• 1'_t�.l. �.I:.i -�.,1 L:i ;IIN ,.I..f.. DELIVERY ADDRESS. ZONE# USE DRIVER '{ti tr 1't INSTRUCTIONS - - TIME DUE PRODUCT CODE PRODUCT; DESCRIPTION I.I.O.M. UNIT PRICE AMOUNT • • • i)� •a:-: : °?. [�i�;�; 1 r-'.� i, i°t3 >rr�,; ;a_, :t:,i, a P,,-, r (: ="; 1 I_f 11, rldl, a-NIII 1';', NJ, ,. ,.I• .. @�G0 i.Jri ;11La Ill SIGNATURE WARNING.' OR AECEI R-14ONCRELE. ND. ACKNOWLEDGEMENT OF HAZARD asc meyer oncre e. mpany will_ not assume liability or any propertydamage or any - SUB -TOTAL equipm amag a for nV deliveries beyond the curb fine. TAX AUTHORIZED RY SHIPMENT :SUBJECT 70 CQ DI TIONS..ON.REVERSE IDE.. _ TOTAL it''.liY. 2VISMAC`yEACTTOT?F_FELL4,.—,4GCOM:i,fON : ., zu ma,!4,ay for our t.r::mfromthe h E3fpp� ,oni m ii11..:9 �C ..r ,,':_-''hk A f .. amn,pWrVem we l'rF'wepm rl�%li f. .,�.f)'r]C-,9.1E-..:S L�f'ft �Y)I Wono meanAW C�.". y.,01 i, t y0nu 1 0 Cimlineat1110CLIGT.Ori127 tOr.,:ABW'il9f represen3t W9 mHost,an !'y_ - 60u, shru bbeIr sepk Am aps sel b, byW% i' muh m j tf - , a^bk c =pie ompa, to Was of Me and equ br aN by r mm of sufhd S a y . xv i mm,._ son CoTpary f m any and WlarnC: dBPI'1antk, and su,'.9 forer,,n : E".'. �+,' `i shown love been rucelverlAnat tuck towssicnn an :17 �. -. ,,t. _di:. S, U^C; for PrIshad'"96t111S Mined trc no. this loadOfcnno:'P,fe A nAwyon, tll r sops of R^b{] mAbbly and. sontr01. ! - , r r-pry: .r (�! •. �.f'1; 1fi `W :.. .h", ; �;d dtt{;r iv n 9rl.iiff--°� f`CrG !k PJ y� !ta J ] CrsGi , t - ' �. ._ � �'G :�1,^.� , 4. 5.1,3J . ;."aSP9 do;.K Fnc6i+V rJ r'l.,r Eti;r; r4s r^_it:i t0t�i, cti the :afar,. r�• �i lli, t. ' `i ll:+�i-:= . - v ev coon zrlJ dlJk (' : O� CUI {Gfi, f L Jt q a E.l Ur _rb r , _ > < r ! 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 Customers Cylinders Taken ❑Yes ❑.No Request _gals. to full load Comments gals. to 2/3 load gals. to 113 load Customer's Rep - Water Added - - NOT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL WATERADDED TO THIS VARIATION IN COLOR OR Cement polymer or freshly mixed concrete may Cause skin Injury. Avoid contact with sk,n antl wash exposed skin areas promptly with water. If any cement powder or CONCRETE WI4L. REDUCE ITS STRENGTH 'SURFACE DISCOLORATION mixture gets into eyes, rinse immediately and repeatedly win water and get prompt metlical ..Urtton. eep children away from cement powder and all freshly mixed AND DURABILITY. ANY WATER ADDED. IS BATCH TIME - cement products. AT CUSTOMER'S OWN RISK. - - - - . To job On Begin Pour To Plant :i At Plant ] PLANT IRCKETQ' ORDER# -TRUCK# LOAD: SEE MIX -- SLUMP DATE CUSTOMER# SOLDTO PLO.# PROJECT# DELIVERY ADDRESS ZONE# USE DRIVER JNSTRUCTIONS TIME DUE ••• ORDERED PRODUCT••E PRODUCT DESCRIPTION U.O.M.AMOUNT OUANTITY SIGNATURE WARNING OR REC -CONC _ETE AND ACKNOWLEDGEMENT OF HAZARD AascruneyT ncrefe Company will not assume liability for any property damage or any SUB -TOTAL equipment age ny deliveries beyond the curb line. V�aliii TAX AUTHORIZED BY SHIFMEN I t;U& t:G ] IO-., ONDITIONS ON REVERSEISID . - TOTAL II €•'Y IS MADE SUBJECT TO THE FOLLG>.,,413 CONDITIONS: •i . ':"n'G �;t�Fi,4 i0 rtUvlC}e gllifr3flie roaril^. av'for ou rtrucks from the street pavement to the pla •e c f Q2I,i ery .S q,,c not provided. we reserve the rlgP?t tostop 3 deliveries Lind condition r - 4 ' � sere re�`nee'Ird an,1, i- r',Yi;, bso had rf:spo ,s bfa for any loss Caused thereby. � i i ... s 'f '.. -'t? v tr `r(ad� '4 ].?d tYi `Ci/ o' I',.n8 at the CIJstUmei Ot CiJstPn?Er rEpYcS2Rta!IYE�S Request any Gain gxz ! n,.''mr*ed _o sr, .,d,ks, or vLwaye, bufainga, trees, shrubbery, septic tanks and septic systems ";Eluding the, ; a,r, ti,. ,. xc at,rL' owner 6 rlsk. .I rt,- to reirnWrSe said Company for loss of time and equipment by reason of such dc!:'larv, �3l a! w f(. S:9L'p ha,rntcsS Said Company t`om any and all claims. demands and Suits for oron accour, of 01 ry rr aris!ng from private driveway delivery. 1, II 41-, zolon%li that all material and services shown have been received, that truck times sh01+t¢! �o rorrrc:;, 2rd h he , � a; It of rater added of ".ho customer's request is shown correcfly. CAUTION: The addlt on'ot vg''e; I (Ac; Cori Ct0 S'rEaCjfh: and dLlra0111fy. F FI v a,a nr,t re-wnsib;c for flrished results obtained from this load of concrete; many important factors aPfOct'nq the ltima-e Ot '„ Completed tub are beyond out scrape of responsibility and control. I •'trs.. 1 M 0;." mmut''Mll be charged after minutes per cubic yard unloa a ngtime is exceca4p. r i i s ees t.: arr3ynce a sufaNe wash doV:if faculty for our truck y 3nri toc li a'I the rIacc of dE'IV.. y ^f m'i tcric' i I s r hF ;:"y agr(•�n to pay all r„^. sts-and BkperSCs of cola ;ytion, InclLAinn e ba`,nriabie I .D, d?�' so hl- qn.._, rl'2, _ al tlisi3 fCfiFeted In thla IriVoiJe, wnon,4f11E' last (fi io uC:'3G^.ts a e S;':7:_s t0 a Ii-ti,t''a 'yr:;e 5. I ,.'.; r•!JtciS[(a0y:�nlclr.�:e. {!!': CLLSlOiner hefeby ii GiiRO'uVle CjCf c.SiL'/.�!I}t E)f t�le C01'iy+.:tf_•C{�J'�; 'rli l'i!'}L:i_l I• I 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 D LOT # Wated Added at Customer's Cylinders Taken ❑;Yes No Request Comments _ gals. to full load gals. to 213 load ,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 Cement polymer or freshly mixed concrete may cause. skin Injury:: Avoid contact with SURFACE,DISCOLORATION skin and wash exposed elan areas promptly with water. If any cement powder or CONCRETE WILL REDUCE,. ITS STRENGTH mixture gets into eyes, rinse animetliately and repeatedly with water and get ptompt AND DURABILITY. ANY WATER ADDED IS eATCHTIME medical :attention. Keep. children away from cement powder and. all free miketl AT CUSTOMER'S OWN RISK. , , cement products. _ � y � ,. .PLANT TICKU# ORDER'# TRUCK# LOAD SIZE. Mix r .SLUMP DATE I I I CUSTOMER# SOLDTO - Ro.# - PROJECT# DELIVERY ADDRESS ZONE# USE DRIVER INSTRUCTIONS - - TWE DUE SUBTOTAL curb line. TAX r TIC•] 0.1 0 1 Ell I �L� - IV Is; Sur3jF.GTT()THr-: FOLLM.,.— CO? q0lliONS; C PV, �]r I jausay by OWMMSM the Weelpammmic dw; W& WMA 0, 7i . :! , i!, v; t-, e p n s in P ngm to SMC, 0,- 1, Ve �;F_ 1 CQ!I, ca,spu t�,c;r'C'V C -I ic ;i! k, c c u c -r, p r c �,tcm c r r,-,L, res vn ti iive',z i e q L a w r c Lac Wompswir).r ios.5 f)ftin-,earij ecj,iprp(:rjj m r,, 4 son -an- WJ joacany rmai any anj W uc ums. domMs and nun, k. q an asm 7o 7 i"o. LL J j a * dy dc- 4 wcry ��Vonyn lot d ".._. CA0 Bnomeseawn nave beet) rf"Ceippri in!�'w r nndel 0 T,c s qljes! ;s shom comeaM,. CAUTION: r? a Qum- uty T -,I d k Mat ed f rc rn Vs i 3n d 0 f concie've . Mail o 1 po;,l 111 Z f F a -w , a Ofopt u wscop Y wpLn�;:bil;iy and =Arol, o " !I, swasen::, n 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 f Central Florida Division Dispatch:407-339-5311 3 i(r; �i f rig ¢n ii Concrete Tested ❑ Yes []No LOT # Water Added at Customer's Cylinders Taken Q Yes ❑ No Request gals. to full load Comments gals. to.2[3 load. gals. to 1/3doad 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 andwash 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 cement powder and allfreshly mixed AND DURABILITY. ANY WATER ADDED IS ea7CH7IME _ cement products. - AT CUSTOMER'S OWN RISK. Load To Job On Job Begin Pour Begin Wash To Plant At Plant 'PLANT RICKET# ORDER# TRUCK# LOADSIZE MIX SLUMP DATE. ` CUSTOMER # - SOLD To - po0 # PROJECT# - - - DEUVERY ADDRESS - ZONE# - - USE DRIVER ' INSTRUCTIONS •••� TJME DUE, ! ••! ! PRODUCT•!E PRODUCT DESCRIPTION AMOUNT Il•. 1., SiI �i ��P;, nl_ i�, ., .jli�i{. i.!' .i SIGNATURE OR REGEtPTCONCRETE A.ND ACKNOWLEDGEMENT OFHAZARD WARNING • MractimmeXer concrete Company will not assumeHanaity for any property damage or any ' SUB -TOTAL equip" a 1—dgil eg. for an eliveries beyond the curb line. J (� TAX UTHORIZED BY 5 IPMENT SUBJECT TO C NDITIONS ON REVERSE SID . TOTAL I I 4 i MADF SOB MT TO 1YE FOLL- -..NG CC NCMCONS: k 7V`.'! � 0- a, NUNS Wn we iflc I!.,(: nor" 'Order, in %;nAL Yo dghtto sop -,e LA !"q'MA -r)!! n � '!'I th.(. cu stonier or co,tonner reprosen M vs, s mqum wivr bu A ran mes. s',inintmy: sept,c ta*z,.;itnj f", w Ccmpy)+t torlos3oftirnr and equpnuntby reason, Win= W& oy v-. mlonnspQ Cargany forn soy anovi dernarins and suiito, o, no qc-u v3t8 or..,c-,vay de�ivpry f tn.a- r,,1 ient,,ha:arid tervrces shown have Coen MCKOC"hattrOMMOS Shown OT 0XV0 v v r %,,T W Mer and w ME; %,cnrrl&s requcsf;,, SI%owi corroctiy. CAUTIC:,}: The; adrjwt— k n o.so"vba 's hy0od regWYclatained hun"Jid had of concrete; many i-,,; .d iOG we owNrd uo s-,ipe cifrespuris;bW-V and controt I cj,, clizzo�:,-j aft -vs pr- ;:,.unic yard unioad,rigtire. 7 Pq-: uxpsn•e-. anonnavc P an ,Q; -0 SCIPV o-� jn%w_ , 0��-,rla4 dw) vt, ,.Cr AdFW�ajMMft-)",IWL1O&&-,2 Lj 1142 Water Tower Road, Lake Park FL 33403 Office:1-877-484-9994 / Fax:561-844-7102 South East Florida Division Dispatch:561-644-9994 / Central Florida Division Dispatch:407-339-5311' IJ CIr� 3 G Concrete Tested ❑ Yes ❑ No LOT # Water Added at Custolneds Cylinders Taken ❑ Yes i] No Request - - gals: to fill load Comments. gals, to 2/3 load gals; to 113 load Customer's Rep - Water Added' - - - - NOT RESPONSIBLEFOR 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 astrant powder Or CONCRETE WILL REDUCE ITS STRENGTH manure gets into eyes, rinse Immediately and repeatedly with water and get prompt medical aftenhon. Keep children away from cement powder and all freshly mixed AND DURABILITY. ANY WATER ADDED IS AT CUSTOMER'S OWN' RISK. BA CHITIMg . 1 cement products, Un Job Begin Pour Begin Wash To Plant At Plant PLANT TICKET# ORDER# TRUCK# .LOAD SZE .MIX' SLUMP DATE CUSTOMER# SCIOTO P.O.# PROJECT# - - l1_;L+ 111 ui. `IITI _)Ytdt I+' rr DELIVERY ADDRESS - ZONE# USE - - DRIVER - }:,d! -F7 1-.f:%1V Vdit �t' 1'r 3 i}. t•1 INSTRUCTIONS. - - TIME _DUE •• •-� 1 .•. •� -•� •U.O.M.• P I LJ. I,"Vi 1}0" l'1" IO"Cl 0) r, L r^ 41, 0 SI - RE OR RECEIP 'CRETEAND A KNO. LEDGEMENT OF HAZARD WARNING may norete o panywill nor assume 11551111y or any property damageorany equipman/ tla g for a,-t alf" beyond the curb line. SUB -TOTAL j,WW,Masc �r "� TAX I HORIZED BY SHIPMENT SUBJECT TO CONDITIONS ONREVERSE317. - TOTAL. Tt-d5 I`F-RY!Sf4AUESUBJECT TOTHE FQl VINGCOA4FJf°r1iJRlS: o I . ^r^e ac, so to '„Vale o ru r:abk, roadwa fOr OUr truct(s trom the street pavemeR!'to the p!a-ca ot.,00ii'v ery 6r'^:: e".0 :; ,aJIP, road ,.'a .s are i iii provided, iM1.'e reserve the right to stop deliveries un`_r. Conditions are remEKied d.Rd. ". -3 _ b i +, C; 'Cme:r '',brit !)o ..Melt] teRpon ;'ble for any loss caused terereby. 1' dr ply 'y IS rr , av L'r yon_! "-he Curb line at the customer br customer rep, esentatl've'S i6que3t, ariY.damogc; z i--"' '1":t !t 1 'u te, side, larks. QnVe'xays, bulidings, trees. shrubbery, s2ptfC taRl:s 3Rd SEViIC syste;P4 inc'Jdlnrj tr.e C t _;I" re, theowner3risk, 1 's+ur lox t+qto s t.'-'e;rnb .rse, said Company for ions of time and equipment by reason of sucl`tloe:'ivery. nL -o t� ,a•^n'f; anc save ' as-, said Company from any and all c;amis, demands and suits for or art �ocou^' o cr ; :=nerPuts3dbyorariscgfromprivatedriveway delivery, i ?. r' tii'r: r 3c 4 no;^liedy'eSfilaY Il maYeridl arld a2rylCes shoWrr have ftc8t1 reG81Ved, that t*i1Ci(timGS Shownr Ire, Correc'..-if'.r'. r W l f< arroi'mt of Water added at the customer`s request is shr�wn correctly. CAUTION The addition of i,,t_ t d, i;nddurabi!iw l 5, ti`o; not resoohSbleforf'rL^ed:exults obtainedfrom this toad of wonCrete; many Importantia_06&aff9C1rt7 zhe li . 'trYyoi h i'r cornak edjob are beyond our scope of responsibility and control. ; I I� t:tlG,?rs'j1..007r'r lilirut8 Vial+be Ci'1.2mC"dafter 8mInUY?.Spar CL'f}Ic:yard ti niO3d'I:U i1f71c'IS I-'XCL3£3C.fed r I ''l": =ac,` i 8' a'gr.as tg IJrOr;ids a F:ii'ablC Wash dovvn faculty for ourtrucKs and toolb 3t tha clacd of delivotny of ms'cri a, I ., -:. C:: F:(i µ'-i'..`r""-:bl year.:::;:',:r.•tlyailr;�^..St9 it"td Y,CE?PSt.S �4 CpllP,C'tt(YCI,Inc:Ud'n_P.?re:l�CriayJ3t�l;CCr',if�¢r=}P, �: 'rl,:';�Fa y fo 1 s r,:� ti`al,a .c c f SCfEd I t'^ $ in'�O P, UV i1C�? du V. pas'L du ar'Coun s are sub £c(t to 9' f -' 7c , 11 �= u t a ur p::.� R tJ-r ._Cue D,? .'li;C. Th(: cl.eat0'T?ie, hereby aEkRCNJiedge, TeCi°1pt C1f `Rc. �.:3;7'plstr+.Col;} C u ,. �+� � ... f `I 1, 41 AM 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 k rr,'ft°ti 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 Add -ea " [711 •. r I ; i,; •• , ,, ;' ., ` i NOT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES WATER ADDED TO THIS VARIATION IN COLOR OR Cement pOtymer or fresh mixed concrete may cause. skin Injury. Avoid contact with ,ADDITIONAL CONCRETE WILL REDUCE ITS STRENGTH SURFACE DISCOLORATION sk;n�aoW wash exposed skin areas promptly with water. If any cemerfupowder or mixture gets Into eyes; rinse immediately and repeatedly with water and get prompt AND DURABILITY. ANY WATER ADDED IS RATCH TIME medteal ettemt!" Keep children away from cement powder and, all freshly mixed AT CUSTOMER'S OWN RISK. Grp,,,' cemsnt.protlucla - Begin Wash To Plant At Plant PLANT TICKET# ORDEfl# TRl1CKq COAD. SIZE_ MIX - - SLUMP DATE .�„".`.. .. 1, i`',if..�.P CUSTOMER# 'SOLD TO PA.# - PROJECT# DELIVERY ADDRESS ZONE# BSE - DRIVE R L Ir 41 .ir! it INSTRUCTIONS TIME DUE i •.! CUMULATIVE ORDERED PRODUCT•!E PRODUCT DESCRIPTION UNIT PRICE AMOUNT P ! ! tt:,lf 1'E,: V;f.; �.�iit t' Y!'� :'•tt. .i it I .'%T'h {r'�i". l'li '_ Pig 'It-r1'ii'' I, SIGNATURE. WARNING OR RECEIPT - CONCRET AND ACKNOWLEDGEMENT OF HAZARD. .: asc Meyer ConFriju, omppwypwlott sume Ia i I r any. property damage or any SUB equipment dama� ardy delixpriet6efTe curb line. -TOTS i �f �✓ •" AUTH0 D BY SHIPMENT_ SUBJECT TO,CONDITIO ON REVERSE SIDE. TOTAL Tf ,.Ai='„ :<_n , :c:�s :.i�:L;"i"i-,*,;7}±Ff-G;�t.04.. ...aWi'.M'Ll1T'�`;.Ih - -',t. .:I'.'z+.J-:.No for o,-rWxQsfrn- the StreetpavernstiMi1PpM Wouc I ; ,. ,, 1. _ E.�. _'rl 't'r04 t.°'B�$i4''(}t6 ('!7YI'tV ,lu7 iic(Ver�E51J (•`ti �,'�L!.Q.n' ar -'i C.� '', ..: .,t:le ] anv iciss caUjs]C to'otw' ,t$ai tlt8CUsLo mEr Or Du Sonar ran dtime on Ynt['; , "AGrit eys-. JJ IdlRp toes Shatib .^i ;epVC ., i5 aad iepVc 3ym er.-v- .rc! .tr art rt r h S VA AT J,':_. it '.Ol I "�.e.; Sfd Ff �glTi ?r7y for IJ�S of'tiole and, equ; JfT'or( by r_n'Ysor) 0? sul ri - sP; ' ✓ "MI;; I,r ,e ',in 0s;s,d':UmpwjAlmanyalr.±alldemands and mjiCSfLrorrx ,c.�: i'>- J r; 5,:'f r'n i°Or+.IJ, ,.-lie d';VEENayde!ivery' D ni eL, MY'' :,F1z I"t 91„ la tUYEni and' s3I`dlne,: 3ho= have been receivec, Wat ?icK tImob Show, Dw cu not ,. ` j? QpWr d_ ded c. the custombra rogjew i5 shown correctly.CAUTION The aCldt oo U` not- 44t _; d c,1,riF1 ec tes As 3GY=i!Y?Eii trOnl tnlS �(3a� Qi G0-`tCJretn fran. i'�'�r -F,,.t ?C � 8 M x Ut ., .r-; s!Idoom ab ao -'?y^ nd c.-! ,�,.Opf of r sp,.;nsdbi lR_y and COniro: i r ^g- r 6 ; 2- Ui2? II boa!, get AE3' $ of f-.0 ='S pe' cubs yams uknau rp f', 3 ,a cocz :dw, �. �.-Li SG-r•.. ..:';I; 1; L 3Cf. .v:,.,i^ CIP+tilt 'L1C�ii'3r CUI tFklfkS nl:� ii:JtL "_' tf > PIE F 0i plvisM pay a''! cots and exven.',e5 fl aWU.Cr nn, I,r jai^ r. r f c, g z immmmma 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 3 8 Concrete Tested ❑ Yes ❑ No LOT # Water Added at Customer's Cylinders Taken ❑ Yes 0 No - Request gals. to full load. Comments .. gals. to 2/3 load _ gals. to 1/3 load Customer's Rep.- Water A ded P 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 ski" andwash 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 cement powder and at] freshly mixed ' AND, DURABILITY. ANY WATER ADDED IS AT CUSTOMER'S. OWN RISK. BATCH TIME - , , .' • . cement products. To Plant At lent rt �I r�(1(cL PLANT .TICKET # ORDER #. TRUCK# LOAD SIZE 'MIX SLUMPDATE tIh'r �:i..� . f . i_,1 I f !' .)I "•{t 1: ,((sll. ,PROJECT# � ef1 'CUSTOMER# SOLDTO - 'P.O,.ft DELIVERY ADDRESS ZONE# USE DRIVER 11 1'i_I i;, }i'i! .r IJC`T L• a :{7 n (" '.I INSTRUCTIONS - TIME DUE it •.I ••I I •I •I •I I !UO.M. UNIT PRICE: AMOUNT L. mil r. :+„ t)L? t- sCl l.)1.1�". .l I r. f t I aIC k{. rr•t., 'PIY °�fi! r.i',.. .i�. ill-tI. 'r, ..i SIGNATURE WARNING OR RECEI - CRETE . D ACKNOWLEDGEMENT OF HAZARD asc meyer o)tcFour omParry wi no assume liability or any property damage or any SUB -TOTAL equipm _ tl for an4"rleliveries beyond the curb line. rf TAX UTHORIZED BY SHIPMENT SUBJECT TO CO/ DI I IONS ON REVERSE SIU :. - TOTAL r t T°VS,f fF$ 1`!',a it ADL SUS.)ECT T C I H E F ?3.a.eayyiJ G C©NDflIC?NS. I, YCmt°rarJ.r'ci to, pro}'da-nsii:taNe roads^, ay for c,;ir lrUCM';ruin the. strc-et Privement' to the place of UplirerJ of rn tor.-.J. :h 5:tltat.k Icadwayr,, are r%! r,rov.Ided, ,+e !ecar e the rigf t ir,.yic p ra!f„enc, until conditicrrs a e i"eitra cc ar,J. i-1,•u n custurnor w!ll 17k' kiclo r6apo sibla to ariy i( os caused thereby_ � it 2, ,Ihen delivery is made: beyond the curb irie at the ru,tomer or cu: fomer represeniafive's request, an, dtlamages inrludl tg bur not timed to. silo natks. driJewaye, buAdlnq�;., trees, s'hrubbwy, t;i,pfictanks and septic, systemincluding the train field, are at the ownpr'• risk. I' I+ 3. Ti e Gusto or agrees to reimhlitss said Company for lo.>a of time. and eq;ripmeni by reason of such de;ivery, a id lsn io inde,iinify an(i save harmless said Company from any and all claims, demands and suits for or ort count of o,, vny mannercau f,,dbyorarisingfromprivatedriv6waydelivery I+ i 4. f ,uston?:}r sck-iowIedgtis thbt i ll material and services shown have been i oceivod, that tri ek fires skoon .a re Cori %f, c n(l tt�ot the amount of water added at the t;usfomer's request is shown correctly. CAUTION: The addiiion of tvater rodki,e eai,icrete strength and durability. 5 We are not responsible for finished rusalty obtained from this load of concrete; many importantfactols affecting the ultima a quality of the completed job are beyond oui scope of responiibility and control,. u. 1 chi; ge Gt r't,%`),n£r nunute vriii be rharCp�' aft er 8 rriinuirs per cubic yard un'gadin-g time is excebded. , iI ` the cu.ato.T?er aqreos to prc,vlde a suitable wash down tacitity for our tnircti jodtonls at the p!ace!ot delivery of inatrrial, $. 1 ce c tistornor'hereby tpgrens to pay a'I cosh; and erpFrfies of c^ )Jlic',ion, iracfud'ntig a reasonable �410rney's fee, if hP ,hrit p iai' to pay to"Bile 1"nE'7 f`etritliss SL'f!eCte•::f to this iilVoit;e. wt'.".?n °MUG': !'c'.Sf due 3CCOUniS are SV:tf?Ci..tC a 1.-1 21V s`x: n'Ii;;f:r on fhc? ur'pald pant due ball: nct`. 1 ne ciilitomer hereby orVouwledgo,, i'vice,ip) of thin r'nhlpil3ir' c,,cpy of ,his c:.'.;sir-;,:'.. I, o , IIr Ij 1142 Water Tower Road, Lake Park FL 33403 Office:1-877-484-9994 /, Fax: 561-844-7102 South East FloridaDivision Dispatch: 561-844-9994 / Central Florida Division Dispatch:407-339-5311 ..I. to_L, tau Concrete Tested/ Q Yes ❑ No LOT # Water Added at Customer's Cylinders TakerYes ❑ No Request f;t 10 r -''tl gals, to full load Comments v _.. "� 2/3 load - - _ gals.to gals. to 1/3 load Customer's Rep - Water Added NOT RESPONSIBLE' FOP 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 If cement' - - CONCRETE WILL REDUCE ITS STRENGTH SURFACE DISCOLORATION skin and wash exposed skin areas promptly with water.. any powder or mixture gets is+.o. eyes, rinse immediately and repeatedly with water and get prompt- AND DURABILITY. ANY WATER. ADDED IS BATCH TIME medical attegtlon. Keep children away from cement powder and all freshly mixed At CUSTOMER'S OWN RISK. tit cement products. Load To Job 0, Job j 13 egin Wash To Plant At Plant '9 ;r^ PLANT TI K ORDER TRUCK# LOAD SIZE MIX SLUMP DATE CUSTOMERx SOLD TO - P.O.# PROJECT#' DELIVERY ADDRESS ZONEk USE DRIVER -,it 1- rr a I. l •� .•.I Of INSTRUCTIONS TIMEDUE •• ••I . •. •rPRODUCT 9 , C; 7 � , ,7, ihrJ t , fAvi Its-eF�i :fi..�i-L i,,..-, , �(-{ t, j,, •(":I .� ` 1.""0 il. >.'i? r: i;ti* l:r! ! i:�f'. "ih�.\t. tt.Nt! SIGNATURE OR RECEIPT - J6 'CRFTE AND ACKNOWLEDGEMENT. OF HAZARD -WARNING sc meye onere e� or�apanywi no .assume to i ity or any grope y image or any SUB -TOTAL equipment tdamage for a�r y deliveries beyond the curb line. / .t ) , �/ TAX ,t.o""` AUTHORIZED BY SHIPMENT SU13JECT TO CO r ONS;ON REVERSE DE.. TOTAL .,. .4w. .. r i. _t'c„feC. pavement n",G-;. Mae A u A 9 .,, M: .. aw n" ry �,dev, ,.� rd3an� t�e'iyhi [c• to deLv�r eS Intl �c .ua�on' rJ red a) ..r , ., .yyvot vote conks d-t``=osawomerCr�.LI:,;:74"'t"1'i@DI'bS�.�iT�i'ftvt. 4ie zAi,St dilr .:'HY"^..a _. E::. SC ; ;'K c rb swy6 bumaps vrees. shrtt try. sepur tar xs and SepIL Sbsw %4. _; Ci O'Y').iP,:`Iy for I,."`� O` t 14Ci Ui!o c^C) Jlr.rnt Y{t Jv own, of nw,)i. t An w r I _n r _ iwn4nx sac! Company Inam any .inn a4 C1c uT3. demands .a. ,d SJ.- f'�r O Dr. C.•.'li .:t %madoes lot ah r att; 10 .I^G 5c:.i JIG:2,R s1nown have Len r ce;v d, that inuix f;mns On to oa r. COD =:i' f of edded at W. cL dome 's reouect it, shown correcn'y. CAUTIONS 'he , d: -cot e a -too o ' '.'-r?'I r :,: ;"'�5. r.l+f.rlS'in'.'�r'gc,l.l)iF,•^,Ut?i�r�ri frCi7l irN�ioc7it Gt Cott::f@iC; V7�2ri}'SR Ir "tF+t!r. )w.'�.:, ftfrf?L , 1Yd ph as beyond our Scope rf i esr o nsibiii.T'y a d cor)tiCL - _" �'9 "-� UE 1a q 41F3 GhP.fCB'i Gff�i'Qr rrinuf=9 C)t?rrUblC f3r(31an±R&C�'� li ,. ., C?.rBedBl� ao U Pro':4 - a aUAS C wash oa a, n fflCtRy kg %i :racks ar.d ! irz p! i .. rjd`;;, t . r,` -1 Ji....T: ... c now. W pay a, CCAS and e:tocrS... of 2....__`t7 K {Pc --_ ,c, r rf, —awAyow NNC'^:`L7 x 10 n-acke Wheq dim: ... El- ' 2'; ....... f f;in,el 1 ,fi`1'rY; PI el,jl:nrn �IY'I 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 F� No Request gals,. to full load Comments gals. rto.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 Cement porymar or freshly mixed concrete may cause skin injury.. Avoid contact with skirl ahq wash exposed skin areas promptly with water. If any cement powderor CONCRETE' WILL, REDUCE ITS STRENGTH' SURFACE, DISCOL ORATION mixture gets into eyes, tense 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. On Job Begin Pour Begin Wash To Plant PLANT TICKET# ORDER# TRUCK$ LOADWE Mix. SLUMP 'DATE jt'?Q '{'-:'i.u. i.., . 1... ./ I l), .•i V[1i 'r� k Itr'l, i-In. i..il: ., 4' .`rr 'CUSTOMER'# SCIOTO '" P.O:A '-PRbJEGT# IC11VI ",Ve.I'IHt R3 Jit •1f(11"1 :"tA I -II tj l •!"- DELIVEflY'ADDRESS - - ZONE# USE DRIVER r!Z, •r!_�i`�1.�I RII '�LCiE�I.� �' `:',r' { =UTt {ir"i I1, INSTRUCTIONS - - TIME DUEO r ✓'t: •.• ••! . -•� •! ••• r • • • ! ! ! L.. 1-0 4171) i•':r4 ", u'%1 E?fal?�;,r'" i'Nn+y:flc i. at !?f ` ,. -cl• ,. ' a e l7Z t�L t! f? i:• ;=i h—1 's r'tt;l'�h�t�[ t�. SIGNATURE WARNING OR RECEIEX,+CQNCRETE AND ACKNO OEMENT OF HAZARD • : asc meyer oncre aCu� pp�gppy-wr .not assumo la bill or any property damage or any SUB -TOTAL, - equipmen4 ma a for 8% deltaarioabe bnd the Curb line. C`i -L, TAX AU IHDR V ED By SHIPMENT SUBJE T 1000NDI 90N ON REVE SE, SIDE.. - TOTAL r Tl 131,)Ei RY 15 MADE SUBJECT TO THE FOLLO.....G CONDITIONSi f " . . & i. n ,uitabic roadway for ou, trucks 4rorn the strGetpavement to the place of dajvsry or ui'Jv- (0,4dwrtys are notpro vided. we reserij to the right to stop deliveries until condittons e to rerradiod aryl. Io!,j^,', 2 jL!Iver; the cirti lineaf the customer of customer ropresentative's requ est- any d rfllc gF,,s c,'--dinYL .1 of 'Ylod io, drivpvvay5, buildings, trees, shrubbery, septic tanks and septic systems, i ch4d I q 4% d, r-- ,3 7ncuu!Fitci-,1.r eat our jTr) �Ijrse said Company for loss of time and equipment by reason of such dell q -- - and Save norn-letit; saiu Company fromarty and all clairqsi, demands and suits for or or, account of or li� Ary i n;,i�f ira ., rMused L)y or a. ,is l rr.., from private driveway del iv 11 (' uVoine.r ackiiowlodges that ai{ materlai and services shown have been received, that truck times sho'.4t I I are corn eIt. ,v—1 re ar,olint cl' vip,te,., added at th6 customer's request is shown correctly. CAUTICNThe addWon'qf water r", ducer; concrefesfrerrt�th anr; durability it 5. We arenotesr.orsb;e torfirilohed results obtatnedfroni this load of concrete; many inlportantfacto;ri; affig ci: t\1 c the Cornpleted 'cb a?a beyond our scope of rcsponsibifity and control wX be after a, minutes per cubic yard unlo-idjN7 n,opedc " 1wa, and aa ;Ij table lmas!h trucks down taci!ity for ovr trus and tools it the plan eofdQilite ref,q,-.Gi in flits 1-lvoice, when fto: Pastduo a: counts at e 5ubj,`Ct to a q'-jjP',, r,,,, iC, g?)x. WP ira:�I pasi due bc?;Eir-e, The cubtomer heieby acknowledges rpoem! ot the cumplo,,e POI y of t, ii 11 fj e 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 6l ql p. 1 linty ,�1 A �4 II n-r+l ly'I lrldrlli �I� I I ICI i� � .I i_! ! i Concrete Tested ❑ Yes ❑ No LOT # Water Added at Customer's -ylindemTaken .❑Yes ❑No Request gals. to full load Comments - gals:. to 2/3 load -gals. to 1/3 load Customers Rep - Water Adds NOT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL WATER ADDED TO THIS VARIATION IN COLOR OR Cement polymer or frZy mixed concrete may cause skin injury., Avoid contact with SURFACE( DISCOLORATION skin epd wash exposed skin areas. promptly with water. If any cement powder or CONCRETE WILL .REDUCE 1TS STRENGTH mWore 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. eATCH'TIME cement p.Dducts. - I o Job I On Job Begin Pour To Plant At Plant PLANT TICKET#ORDER't!:' TRUCK.# LOAD'SIZE MU{ SLUMP 'DATE ' 1 1 -CUSTOMER '# ! SOLDTO P.O,# 'I PROJECT#' DELNERYADDRESS ZONE# - USE DRIVER INSTRUCTIONS - TIME DUE r-' LOAD CUMULATIVE ORDERED PRODUCT CODE; PRODUCT DESCRIPTION umolm. QUANTITY QUANTITY QUANTITY I'. _5..1 F-I L SIGNATURES WARNING µ OR RECEIPT -'CGCRErE AND'AC EMENT OF HAZARD` asc meyer nore�o oJrlpanywi o ,assume a -r r y or any property Damage or any SUB -TOTAL _ equipmenge/for+eny deliveries beyond the curb lint. - 7 1 TAX A THO—RI-ZED BY !I SHIPMENT SUBJECT TO CONDITIONS NS ON REVERSE SIDEe TOTAL iTrlxi:1i1'lt1aDESf5i33CTTGtTHE FaLtc.,,racCONDITIONS: a;uitablo rciadway tot OUI`lFU,;k.5frdm the str4�_ paverhoni tothe place of di;lid2ry c`; rr,'L:': "tl. r ' rC$i,� arx)r^s k1rH not prC�-J�IdQd, Nh%P'BF2FVb'th0.i7fi,Jh[ kiJ SIOq �+etIVE'rt'efi UY'ti� CC3nC9ti14rk$ Eire i^FaffSrr ?d Einf1, iP.'. Uubt !':lE?"ti'rlr G4: haid ftiS,C+bIIS'r'`JI(', f1Jr ;;ir1V.:O5b' G3US(3d the (@bV. ,I s . L J F ?ti Cie' IE_ry is rn 7 de r-'eyond the curb line at the customer or custorner representative's request, at,y dar-iagGs Inc:a&n_a, r c r rV r r c rl i' but r,.;t l nrted to, ... rlk,, . r ce r a , t1 i'Idings, trees, sh. �bbery; sevtic tanksantl�septic system, tpcludlrg tha cra; xre ai the nv+t+,a,r' iisk I1 r< e_ s"cr r agree, .o eimbur said Comp my fol loss of time andequ�pment by reason of such d lwwy". rind Uo ili(3o,n lify ar:d save hamooss saiO Company from any and ail claims,demands and suits foror on accou! t of c, rt,1'ly nc, ne'w C-51 FY7 bY,.r r"3'nn from private driveway delivery. s©rre m _,c c; sr✓ties ges tha: t.;) atrial and services shown trove been received, that trick tiirnes 5t;o vr, are wrre_;t a t nhe a•t ount of vvater added at the customer's, request is shown correctly. CALJTIQNI. The addition of ce te:; r�CJu'.,:•; I col—cr<;ts strenrr; €i7d puraei!i`y I 5. Ve Care not respnr;slbiefOrf!nisNd results obtained from this load'of concrete-, many importantfactoi s a,, c nq ,i,.e a ;im,TV 7i liry ;of - nrnoeled Job ate beyond our scope of responsibl'ity and control. cf ai'gc o' $1,00 ner m gut = ,,i!) be charged afters minutes p>r cubic yard unloading time is excee ed. rie rush m agree s to provirie a suitable wash clown facility for our trucks and tools at thlc place, o}11e':sf1very c,f IT.L tVI_2i. Ir t F � I ; i.i,.'S:'' �E.r I?�.;ro[rq f+4rs,�s i`o pay a1;I G6'.'.fs and. axpensas O' GoiiBcifon, 1nCiUdtiiCt e':: rer78onable ui`e'J7�rTej� b' re-:', 't � it' .il }ii, °a:i t.0 pt7; for tf:o •cr wndfsc ra`Ireted in this irivolce. h>•;hern clue: Fast due accounts are ;ubjec', for t 412 ' s n:9. n on .',Fi' unpaid pa, t. wp baiace. The oustomer hel'eby ack'noL`r'i gP_s rN3t'.'e;ot of the cornpl6.';e copy ; ,i .`,b _ -;;lr d::C. r 1, R 1� IIi Illtr