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Home My WebLink AboutCONCRETE PAPERSTT M1, ,iffmii 1 Arm 1142 Water Tower Road, Lake Park FL 33403 South East Custor rer Service: 561-844-9994 561-615-0011 Concrete Tested 0 Yes ❑ No LOT # Water Added a Customer's _ Cylinders Taken ❑ Yes ❑ No. Re est gals.. to full load Comments gals. to 2/3. toad gals. to 1/3load C'stomer'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 antl wash exposed. skin, areas promptly with water. If any cement powder or CONCRETE WILL REDUCE ITS STRENGTH SURFACE DISCOLORATION mlxture..gats into eyes, nnse Immediately andrepeatedlywith 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. To Job OnAt Plant PLAM TICKET# OR,DEA# r TRUGKf. /. LOAp$2E.., . - SLUpGP MR(._a, `F_.1=): i.'11�ILII'F, 1,.,;I DATE - i CUSTOMER# SOLpTO P.O. PROJECT#. , DELIVERYADppESS -i`CI-}lti,�z'I t:} -I zoN�E# r�i'tf'll USE DRIVER' INSTRUCTIONS TIME a r LOAD CUMULATIVE ORDERED PRODUCT CODE PRODUCT DESCRtPTION U.O.M. UNIT PRICE i AMOUNT QUANTITY QUANTITY QUANTITY 14 Ny a RECEI ED JAI 8 0 GY9 SIGNATUREOR. �A.FfRItt7 PIA RECEIPTA4 CREfEAN2. 1 Nuw1 NT OF.HAZARDwARMNG asc meypr` a e. company will no ssume ra I rty or any prope y amage, or any SUB -TOTAL equipme da }6} any deliveries le nd the curb fine: i"r" TAX AUT RIZEO. BY SHIPMENT SUEi�IECT TO GUNull IONS ON REVERSE SIDE: TOTAL -oil Wompul Weetpavement to the placuof&.4ory of 2" 'OPI f� CAb mW &P vm3notolva's mquesi, a,-ij di -a x . r. t !I. C to C r"I po to-" Lv rc4.ton ot -,�j,.!j t!j,;jv r,,./, % i ti�,:wands and Ms ho; nran amml of a: n Q� YWIMAHve bee, r��ceivpd, that trucr. timps M" r ;vb con cat jpd of ecy SKS Wwn norectly. CAU RON!' The &&IiVon U 'V91or cor Dnd ,,Of t1o" Z A Ord urlmof , Is wcmdul. q nL. OT on juu.q. for nx mits a"d Tmsa"thr' P!'I(�-7 (,-,f 0;)IE toy - At C AN X" Fnvmr,�- f 1142 Water Tower Road, Lake Park FL 33403J' + South East Custo'mmer Service: 561-844-9994 561-615-0011 / Concrete Tested ❑ Yes ❑ No LOT # Water AdQec Customer's .Cylinders Taken Q'Yes ❑No equest galsto full load Comments gals. to 2/3 Joad gals. to 113 load - - -,,.: Ll r-•r_II --L {ti..,I Customer's Rep-. Water Added NOT RESPONSIBLE FOR WARNINIG IRRITATION TO THE SKIN AND EYES `ADDITIONAL. WATER ADDED TO THIS VARIATION IN COLOR OR Cement polymer or freshly mixed concrete may cause stun injury. Avoid comact 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 immealately and repeatedly with water and get prompt AND DURABILITY. ANY WATER' ADDED IS medical attention, eep children away from cement powder and all freshly mixed - BATCH TIME . AT CUSTOMER'S OWN RISK. cement products. - PLANT TICKET# ORDER# 'TRUCKk LOAD'SIZE 'MIX SLUMP DATE r L+1L4r :) ?',+iT;) ..! "1� III. i.itb fa , CUSTOMER # SO LD TO P.O:a PROJECT& t ,, a:�f;t' "'OlKIM l_'.tI fIL,i 13.7i-.il1..Xi0j `1'i!�'•"%J DELI VERVADDRESS ZONE#' USE DRIVER Pi t IL;}4 i?;P+I R1i rt,` t1l_L,'1•ir.: Y;'01h {4,i Ft!(i' I11Vr, INSTRUCTIONS - TIME DUE PRODUCT DESCRIPTION I.I.O.M. a ! • ! i41 l$t • ` ,;;v' 11'r, 1. t:y _ .jY. .ilh' 7! ,,. ,:! Lkl tJ1; i`r , /tt 7.f_1':i ( NV iV11 1. tnel N. iltri l`'I, II': ' EI°�I-i !FII=fl: It ?ti t,0 Of, 0(" IA,i ;.•C4Ttli;r'r1`i J'r_7, : Vi fO: .''a _ SIGNATURE OR RECEIPT-. CONCRMIAND ACKNOWLEDGEMENT OF AZARD WARNING' asc moyer one o pa�rrtty wl notassume liability or any propertydamage or any - SUBTOTAL. r equipment damag rfaliverfes. beyond the. curb dine.: TAX AUTHORIZED BY SHIPMENT SUBJECT TO CONDI I IONS ON F E SE..SIDE. TOTAL C'il.;'t'.;I�l ]i �i(�i'':i:5 tG l7 ,sr,d 3. cci difi,7r�,3dtN:ai�tcr UlT t41Nstru''i l�F,`Mnmt pavementM the F'aco of oel(very' o+ rf pl r. t o d: i ...rn '.d r e _ I. uliC , 111 'jr7le Y'dL,.l4y„ u... nJt j�!'oL'� a^q L E' rE;S'�'"'� k: �n0 rx:'hYt] elCp deliN�r�cS uflfYl CDnd7JOrv5 are rfn9itl� .. and. ,n'.! i'4, t.,vL it, cusli ome"vAl be field rpspo"lc!ble fQr any ions Ccau!iod thereby, _. t�,'pllxn :feh1 �.ry IS made �;Pyond the rl.lrb line atttr� r.u5temsr or customer repreSs�rCaClvc s rLn;rie�:, �?y dv;rl a^ � -r �:�.:_ rtl but not I,rnited .o, sidawalks, driveways, building., tree, shrubbery, seotic tanks and septic systorns, :Wedding e. w, are: at we CVNrmI NO. :i The CL4810mt : agrW?as ro, rF'IP''it a so sad Gompany tat Wss of We andaouipmrfrit by reason of su-m dolivery, and ,]'ri:J f:1 koe lnsy" and save hart??IFSa said mpany from any a d all ClElim, derT I Ands and. su is for or of) aec'joi i� of or it iml" rnai"ta, 1 •,od by c. arismq fro r pi iti aC^ duevaay aelivetrv, 4 Fh<at ! rn !ofl ,l v KI Cea shown Pave;; epr, €2G@eked, bowl q ck hmes snown -1; scamed, , pi that tf o a cuu'J of War added ar u':. ^ll, tC?R?.'f .> r£egLest is ahmi'? Cor'ectly. CAU i iONI r if, .A d `,o'i .'.o'.i.c,ch e Si4:c•:'gth and dLi7":eh:l pj; - 1 4 e mo, A.. cvincib-c. fU f"nlsi'ed li d.tl',d o,,.diln'eo rr. this load c't CJRCfBtP,; marry lli'401iFtntt$CtOGB iftP„evil u 4rlE EF`i."" A, ri Cfty of iht cc!mpbted Ph O'e l,('; Oi1c our sco;;B of rc ,i«.:SiC l4y :lnTf cnnVol, ,i. ,... 4:53,>.��'✓ir uY,', S:Ali0, U.'n1 .. .3 UMspr oj ,a!d! 7. ilr3 cL' tdmer cH:7TF es to 1p f 6":°iie a t QNP pmWo down NoRy kr our trurK and tngs at ihn Jio.G of iro tg .. c _ _-d exp es of i.P ..ti ,inr , I t )n, f, "31? rl'c , on _ .. nlymcmm to diju %M duo,,c213LIp'` ' arfi S.bjecT Io !3 _ _. in a .. t C�...o t... j., .. C ...'.I4. . '3Lzy a 7W! ut.;f„ ...:Flit@6 4 CsGULp.'j d.: I. Hyliff mlil 1142 Water Tower Road, Lake Park FL 33403 �'�� If i' i 0 01 f 12'1 CA 9 0 Smith fact Customer SRrvinpr 561-844-9994 561-615-0011 ConcreteTested ❑ Yes ❑'No 'LOT # Water Added at Customer's Cylinders Taken ❑ Yes ❑ No Reque t gals. to full load Comments ° gals, to 2/3 load gals. to 1/3 load r ,t.^ t! f l I < -,'I- I tl-L . I O.", stomer's.Rep - Water Added NOT RESPONSIBLE FOR. WARNING IRRITATIONTO THE SKIN AND EYES ADDITIONAL. WATER ADDED TO THIS VARIATION IN: COLOR OR Cemen' polymer.or freshly mixed concrete may cause skin injury. Avoidcontact with skin -and'piash exposedakln 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 sit entloo 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. To -Job i On Job Begin Pout PLANTTICKET*ORDER# 7RUCKp LOPO.SIZE MIX SLUMP. DATE ) 1 t17, r:,= _ i'rS. (i ..,'rd2�:F '^i C1C Of I'.ii:1'I't /. t31^ �': i.. TOP.O.# PROJECT#P t'.il. h-'Ihpi, i1dN.1311.„lr J O! I,j' 11,If,lDELIVERY ADDRESS ZONE# USE' - DRIVER' RIIi I-'r:,4• ,hd I;tF P!-J- iI'l+_li'.1+_ tltAlx:ret lily, INSTRUCTIONS - TIME DUE PRODUCT CODE QUANTITY rn. ff4 . )'-•.a,?:'laJ.d, 'il 7"6;I{,.(s _,(,? ^�{7tiir`. 'ti..'Tt a.'t1;-(Ii ;:iLt d:I`fj..+ gr:F,ilt o-'t,}'Y :,L:XI rI(A.J. r•f-. 1a 1Il'1:+1,k ',EL:•jII!;V-.. 1 4_[4 I1'dJr;;S]i},J Ttrf:F>I SIGNATURE WARNING ` - OR RECEIPT CONCRETE AND ACKNOWLEDGEMENT OF HAZARD asc Meyer"Cqperele Company will not assume Ilawiltyor any property damage or any SUB -TOTAL eq Ipment,da a for any deliveries beyond the curb line. C I TAX AUTHORREDBY SHIPMENTSUBJECTTO CONDITION •REVERSE SIDE! TOTAL 9 iJ 'Abod YWMADEWBW47 pmodn a sYmble roadway forou: trtiC'+5 fr0!Y� thesheet pavcment tothe Place of del'Very of MHtP pt!' I `�i,rtzqbla m3o�,fayz.nr- ot,,rovidad .,,oe reseme th- Qhtlul �;tru rmndlft1ons are rmo6ad aom. lip `J,Gl) cusionnerwill be InQ; m,,pun0)IP W.' any tG,-,,,causa!' 'U-%;eby 2. VAm May m rm' du ceyond the curo !,no of te rep, esentabye's request, any damagm M but not wMad M, tAev,,aks, onvevvnys. boHdings, N-e.,,; Snrubbary, ccot�c tanks and sPPtjC �Ygtoh)S, Vndjjrflng Tn.(-, (j,' . E,P N,Id ate of the ownor'ri ri5k. agmes " WmLur�',e (.01^pa indurnlWy and save hmWem mo G'.),ripai-j from any ar-�d c.:idaims, oemands anj suits for o, or of 0(:i- z,r. i'am-ercousod by Of? vtn.. fmr+ cI'w-..I-e J. deflvery 4 CuSlo-.)er that W materin, and zenIca, shown have Yen received, that st-town wevow8CL .,n that th,,-.. arrOUM uk-mer aek!'sQ at t^a ';!.. "orrtt'Ws 'Lquosizi �.�N'Ywn co,!eUiV, CAUDON, The adortion of votor mum -in' fact,xs w,„:�re -,nt mspors;Neforfirished this lcad�;Imr,crete: rrany finpertL L, affer"tn^ ""I'a 'O[r.m( QUIg L. fe `10j' )d ,-i: an rn-. OW on PY A 3qCO a A E fl`?JtUPtYC ':fn0 6 -'AC^,C'Goj 'e mem W mus 0 rd VJ* myl (Ima, WAY A"xIsm , mW loss at 9 a Acn of dowmaycWon-, rcluu.nq 3 r<,asf nab,e ammayl tap" ■ Ir1\/r1 1142 Water Tower Road, Lake Park FL 33403 South East Customer Service:561-844-9994 56t 6t5 0011 UPI 123f'3 Concrete Tested El Yes ❑ No LOT # Water Added at'C�s omer's Cylinders Taken ❑'Yes ❑ No R/e'gLt st — to. full load. Comments .gals. gals. to 2/3.load f gals. to 1/3'load y rz-I r+ r,t- T 1 u Il ' 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 - skin and wash exposed skin areas promptly with water. If any cement. powder or CONCRETE WILL, REDUCE, ITS STRENGTH SURFACE DISCOLORATION - < mlxturegets 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 mixedAT CUSTOMER'S OWN. RISK. - BATCH TIME - - .cement: products, - - - Load To Job n Job Pour Begin Wash To Piant i} 1*q1• v✓ i t� � �J � I ' r �i. (j PLANT TICK :# ORDER'• TRUCK@ L_OAD$IZE- Mix - - SLUMP DATE - - 104- 0 11a19J4 fl CUSTOMER X' S,r?fi.w SOLDTO' 4:tt.t;l`•tt"' I^liii.l}1"!f`� ��1;L1''Ii;n, P.O.k PROJEOT# '.'�"rl`"!at"1 DELIVERY ADDRESS- ZONE# USE DRIVER - f`,!. L:fril-Gill l:.'.±_) _. {'�zll, _ �L'r✓`v.}I- il:';\ 1T1 i:fC Y` r51i Lt.;.-v INSTRUCTIONS. - - TIME DUE PRODUCT DESCRIPTION U.0,1111. UNIT PRICE! AMOUNT ;I.kI'.o tt�t �V7'u. t'lr �,-!l:ir.. �.,�+1. f. ret -111-V F Etf i i I'.IV f t ttt}1�^ir fd't (-41. U ):' r'Cf i t �. Lint t0.�OVI !•rv,.wrl `411 l .y Yf'R%t ., SIGNATURE WARNING. OR RECEIPT -CON ETE:AND. ACKNOWLEDGEMENT OR. HANARD asc Meyer e s "ympany w not assume liability or any property damage or any SUBTOTAL I6f, equipment da for ny deliveries beyond the curb line. TAX _ AUTHORIZED BY SHIPMENT SU13JECT TO CONDITIO �ONIREVERSE SIDE. ` TOTAL Ti-I t12 D C I- !Y UMAGE SUBJECT'i OTPE, FOLLO�A CONDITIONS: a S:,ati,UO roadWPy for our t; i(oir. fl�18 streetpaverneritto, tno hiicp of deli ?or yof n:a'o raf sl n, e It W MO UVOIS unt COPHOMS am m0n aod ad �i ,,Ijc:, - (,Fidvva)s ar2 roRrovued , v L - r P; cri coniumar "M W Wompawb�-3 for a iy to cnw3oc, d,,ereu� 71 vp dauvery is roda nv, -r) inp at t` a 71j"4,jrnio, o o�,istor� i4.! represerredva's Tal pi, uny Q vilux cc : if kq ou' not hunted to. sidtnuA, driveways. Mhqq toes shr,mbful soull tanks and septic. sYstenls, ;n"itiding '!".) nftii, tielc, a"' at the Ovxeft ris', "t. Fctistc�,nr,,r agincess rambpan sad Coxpaiyfor AN of time and equipineW by ielson of suc, dei,,lery, an��. WDew, Xyand save haw Plas sad Arnpanykom any and sHcYwnv,dsmancs and sults for rramiorualb sod)y or' ilOng, from PFiVaio doveway clr?!-,Very I. mai�:!ial F,dseivices shown have been recened. Net truck Ames shown a, a mec. im, that if^e arnoumt of walei added at thu' CUstO0,10r's ASASM A shown ccirectlY CAUTION! The adnrlon of vat" t rt2cucGr, af,dllrabs:ity, 4- S. Vle i,e co! resp,)i ;s..Ue fc, cbtairad trom thlz� lead or crncrete, many imporfint factors afti:�til'g th,-, ul'l 4u,a, ly of the competed Q a,& bFycqLJ or scope of resr-��n�bikll)l and control zu Nor n Taq w? no Marry.: Jic; 1-, rl-ltL tin a:idinC t'irno s i„r-efied. 7 An malurnai nwus %) o7okic a sNallia obsh clwn fj c ut A,Gu and iodsal P!o�,'o 0�, daltvu(Di I, -A" L'I b:Yal!r'-" ;- T rluwby Wowncle; racypte MO cor,,�/ vi im a t�,,l 'M 1142 Water Tower Road, Lake Park FL 33403 , t •l' South East Customer Service: 561-844-9994 561-615-0011 Concrete Tested ,❑ Yes ❑ No LOT # 'Water Added at Customer's Cylinders Taken ❑ Yes ❑ No Request ' als.. to full load Comments gals. to 2/3 load - gals. to 1J3 loadIL . _ 'i f ,4.._ It T, I; IT;. 111 ;I `h' -..-? 1 I.} ustomer's.Hap - 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 cementpowder or CONCRETE WILL 'REDUCE ITS . STRENGTH SURFACE DISCOLORATION mixture gets into eyes, tine 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 ` RATCH TIME _ cement products. AT CUSTOMER'S OWN RISK. - - - - PLANT TICKET# ORDER"# TRUCK# IAAD.$IZE MIX - SLUMP DATE Iq4 `i4-; f j, 'I 11'h 41 ;! 1111 I li,iS r[er i YeI -. /.` /?9 {ti'14 ,lil _r CUSTOMER # SOLDTO, P.O. # PROJECT# c,-fti nIsl,r:; t�,u Ia_r T�,,i; =: �L.1lrrR."1 `.=17._, .'r 7 DELIVERY ADDRESS ZONE# USE DRIVER. -'y-rliRD .. °`il '. t'.i rY',T i- !. t, cqi yIr.i I'll INSTRUCTIONS TIME'DUE 0 'if Cob .1.i_5i....1 )_P'l'O.. O l.0 'lll+.9iL)J! h+1 o I CIO .R. I'f 11's'R1;DvLe+ ;'NS4.d1 iT°llr i /�%.v SIGNATURE WARNING. OR RECEIPT - CONCRET AND WLEDGEMENT OE HAZARD: . e -Mascrimeyer Conq Gmpaqy wil not assumeliaollity for any prop."y damageor any .SUB -TOTAL equipment dama9 ' or ny d iveries beyond the curb line. - - TAX. AUTHDARED.BV SHIPMENT SUBJECT TO CONDITIONS .O VERSESIDE: TOTAL f1 C u,;'9i'l Ei iigmES lC p note a mumYe CO?,(.?N.ay for wir't uc�5 from, tf)e sivLeC Pavement to to }?IC O of a$)wry of mwe A'i i, SUGh SWtable Yo&d,Vay'-pu9PIp1:_P,'-(I, ,c mWerve the Ag t to szo7&Koeres u nil conditioml are �emedied aric E"o. cr,. 9J82t. G--"'5 (Waled 0"111 be fE'ICi (E -i i151iR0 fc a`iy :U55 cejJ ed 2 WI16'T deiwen,,is readobeycodtfle curt) .Ene ztlh"l' C:ustofnfo wGl"bW c' Y quc)S., vony u:Iagiage.- mC!%.ltyw�'7;. i)Ift not Wed to, L.:dBV, aka. driveways, ., tJUIICilt'>41s trues, S1Vri1tlf elo sept?Lwks and SEpbc Sj8c4rns, inctuding tho . rl.o field, are at the oki er'3 f4Bk I I lie c"Sl Jr"U! jgj''L.., swc (m;Ji.m j far . J. S i `ill"l , d-v.,i r,(-juipt-neat by rea,5on c su l ,c,od aiiSc::I r1CnmN f and Sato af,y a+^-.. -1 man rcr c uszao by C YI -mgpc5 ..5 c n .•' 6cliiver} 4. C usto Ter ackno"'J dgc F'th'-'O )ca.c'. 13:aS d Len'IOF ,, sh_ on `love been i'9orwed, tat WK Ines noon 1w coam Woo If1G Llm1 ); drtt CC uVa mude.a, i the cusW .m Uzi mq aw is 5hmp col;`et ;f!y. C}`11Jri'`ON: The adds&n ra inter mau x, concfete strongt and�lurab- fty. 11 HY cf the CGYY"ated jbu c'f beyond CJ 5.^opp c if f e s p9 )n iiidTy and j on{, c?. G:' "I I '. U i,a c wyo a _ A in J 1., ,! ncl .'T(` IS I'), :IF 1 a w NY `l^__ 01 c;UTVf 1 01-ruCI _..0 1r V-^f`_ C Cfi'r4 , �mrir'j-�l T B _.�." c`Y '1 St3u, an vest, pay as :Jf .t, ec'I'3 emancat Of @ k Jr I tYr I ii? , f,t n p ::. / V t".: F?'Rry V i.iw$ .. .0_.. V, hS I^Y[;'. ,.. ns'1 Smy Pc.Lt. '.t l,ti an d i.''i 4 1,110 i f?CCItpP Of the v`'-�" �.}; e;'F copy,-, Y 'M JJ" mili:k T? n; AM 1142 Water Tower Road, Lake Park FL 33403 South East Customer Service: 561-844-9994 561-615-0011 C��i il�Ilr��li� Concrete Tested ❑ Yes LOT If Cylinders Taken ❑.Yes R` ter Added at Customer's Requestp gals:.to full load. Comments gals.. to 213 load _ gals. to 1/3 load r ItFfL' l� r r •! ln. ..l X I� L 'B'•, e-r ustomer'a Rep- Water Added NOT RESPONSIBLE FOR. WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL. WATER ADDED TO THIS VARIATION IN COLOR OR Cementpoiymer or freshly mixed concrete may cause skin injury, Avoid contact with skin an ash exposed skin areas promptly with water. If any cement powder or CONCRETE WILL REDUCE ITS. STRENGTH SURFACE. DISCOLORATION mixture gets into eyes,: muse immediately and repeatedly with water and got prompt medicaPattention. Keep children away from cement powder and all freshly mixed cement products. AND DURABILITY. ANY WATER ADDED IS - AT CUSTOMER'S OWNAISK., BATCH TIME To Plant At Plant PLANT 'TICKET# ORDER TRUCK# LOAD SIZE MIX .SLUMP 'DATE- .IOtt :' 'H r�.':43 l %l i 3.{.. J_,' tI.h. . CUSTOMER # - SOLDTO P.O..# PROJECT#. _ _ DELIVERY ADDRESS - - - - ZONE# - USE DRIVER _ b. Tir F?f<i iAi S24i - 'FT'frL LLi(-.3f', t'?ir,.r, Joann.;; INSINSTRUCTIONSTIM E DUE ` - �I , ri4t •.• ORDERED PRODUCTCODEi-•D •N U.O.Mmm UNIT PRIG• !mma= W-1111101MW QUANTITY 10 1710 r{J 00 7 tZi.0'i. 1 JC;,'011)1. 1,00 to l,�t%t) ,' , i;;, .. 5 ,. ( Clj�t yer .'t. I,. � , 1 „ t: x• ��n t12Y.0"6 0.V' -;,.I e.rY l41,111}Y DI 4 ;?,I-.I'e Y SIGNATUREOR. RECEIPT - CONCRffT AND ACKNOWLEDGEMENT OF HAZARD'WARNING as- inmeyer on "c Perry will no assume) II or any property amage or any. SUB -TOTAL wamazmlequipment tlama f. -zany- ellverles beyond the curb line, TAX .' AUTHORIZED By SHIPMENT SUBJECT TO CONUI I ION Ni. ,VERSE SIDE. --- TOTAL 13 6, ""* i_ tr * S°x7,ADF w i. 8 dF-GT 70 r t F'i)S LOVPM CCBNM CC.1iW S: M^ a - wogn v; tC crry,. ;-io a SLI .' _l roadway for 0,.;f rucfvS 'f'J. + the 9ti"F G: o3'vewnG nt t9 t%@ p la.R: £` GcI ," j c' •`.&+. -,a d ___hso MA"+4atl`..,ly. am vnT Y1) -,ed,v �;i the qghtt' stop C42'!V£1fill owprv, L .n,lE,r vv,g up SKI rE pn I kr.+ lur s d made the?,.!jrJ tinn^f the rj T.Ion,e(O"4...,iO!l '!"C 1rE.Sc n}.lilr?S (':Cli1.'S, am da''q 'Y._ RU"'lit ills utSd lo. elE+.,,lyaN. anveways, hued I gj Tmes, Sf1Pd6dJR, sep C MnkS and sepbf, .`„ySifl(1,,, Gn' ludir,q i ,o i '&,❑ + Ti}s: GtE`:,1G+ or aI was to f:91'iii3V,a+i .: ad Ci.o±rll'7e,W tOf 1Uy65 o tinm and C:quipt- !ent by :opsbf) of .ra .0 {dL Iive )v. r. no <.'',..v:Z (U =Mn9v ano Save'"F; nk'-85 5a'd Company fmin any and al Ci t'n s, QSmandS and suits lot pt Vl+ aCUL U':A 1t Cl A 0 i`,, rn no&. c -,3r d 7y Or frow pi vat, F. dr.;vwvvay t;c^+ivef(y. 4. GUStor;ll r ac.Kn.G''Med+fjes Tat aN rnadenAi M n d Sf,{asps Shown have f ,,00 rece!ved, Mat t ucl< hmesshown me roN" ,, 57r, the',tll£ amount of'Natar added a. `,%-'. C41 iorne,r'S rc-gL;cSt IS sho%n couectly. GA!jTION: Tie aooitio i o: x . c cor-CYEte often th lf,d duraUiiit:y, 5. Ne . ; nav e,r,e • it lc to. ? nishe: resuttS Obtained frorn th ;, load many i oc to^t factors ait c+ll i the J' : - a,r, qLlaijl:y o °h` compel€ted ob ate Pbe yond o,j-, scope of YESNOnsinil ity and cot Arol ... + G e 0t S, SC P 7V2 V h - ''a-g, .,. e .c:e 111inMa Pe .. lb o Yard U I ,+3diny "me IJ r'. he ro tontsr ci!'trees 1* 6i C)6S+,fde a su;ta,Ne wash down laoility `rJf oollrucfL , and tools cat tor, p11-?.C.^ of dower Of �Y..s`t"It�� Y ro S. - r !. r 1 r c ++T. S o , W e. ' + 4 ; ?' _,_y ,1y � � � $,_ ai' Ci � e:'a DYNE _„ v C...-. t J?i, I I �-'lf'.'If� e 3, uL3h�. ril%OitoJ�..� � i. i'..� .fL�� i �,AVLI1=:vm 1142 Water Tower Road, Lake Park FL 33403 South East Customer Service: 561-844-9994 561=615-0011 12 A96 Concrete Tested ❑ Yes ❑ No .LOT # Water Added at. Customers Cylinders Taken ❑ Yes ❑ No Request full load Comments .gals; a..to J3 load - :gals. to 113,load - - , 11 i I It it'-, FRI ICI-" ^ F. �"' Cust er's Rep - Water Added. NOT RESPONSIBLE FOR: WARNING IRRITATION TO THE SKIN AND EYES ADDIT • AAL WATER ADDED TO THIS VARIATION IN COLOR OR Cement polymer or freshly mixed concrete may cause skin injury. AVold contact with skin and wash exposed skin areas promptly with water. If any cement powder or CONCRETE WILL: REDUCE ITS STRENGTH SURFACE DISCOLORATION mixture gets rtd eyes, dose immediately and repeatedly with water and get prompt medical .attention. Keep children away from cement powder and all freshly mixed' cement products. AND DURABILITY: ANY WATER ADDED IS ' AT CUSTOMER'S AWN RISK: BATCH; TIME - ! { : vit . Load To Job On Job Begin Pour Begin Wash To Plant �ilv:l mm f{0 'PLANT 'TICKET# ORDER # TRUCK # LOAD SIZE MIX SLUMP DATE :., ,I it F•{. _l 4ii+, f :I. 1Yii. ALA .';3.;,i'I :�?rit;Ll:[rsl L%t.P (, Cil,r ,`•1'r.. CUSTOMER # SOLDTO P.O.# PROJECT# i688 t.L11A I I?v I DELIVERY ADDRESS' - ZONE# USE DRIVER t,$,'Iv'RMIAPt lily KqA- ;tI.IIL.1P INSTRUCTIONS TIME DUE ar; .,. .•. .. .rPRODUCT (;,I iy tPC] r1N Vr I. Of O1 i.P, i 0. eto Vs. ;. Sri, -i 17 ;'.51 T't ; r{I1f, Y ":i SIGNATURE WARNING OR RECEIPT- CO ETE AND ACKNOWLEDGEMENT OF HAZARD . e asc meye no re e ompany w n assume Ia I or any propertydamage or any SUBTOTAL equipment a for any-.deriveries beyond. the curb line. - TAX AUTHORIZED BY SHIPMENT SUBJECT TO CONDIT 3S N REVERSE'SIDE. TOTAL 1 i; ;;. 1 1r` 4 :+ `?i;'. E"i 'ik:.9E3 °Y"i;'" i,^: CC.B. iDMO S I_ °iUo(vf'i:,` ��^@F;?O.Y✓L!,.?aiWeeroadwey+foroulocks frnmthe tt[eetpavinenttallhe lKe vi dE-',1gry (j'w:i..N' •;t Ch c ,mow £ fi..:.C{ . 3r." yam no �.; C `?ic�c;r"'i, wa w5pNm to nght lO sop I 3i!val SS li! N conilt!!i'7:3 an r?Fd sdId am! n4.iJu cve' t, cusl ' ner'rei;l to nein r:esporlsible forany ions caus?rf lree� oby. 'rVn;rdl dcalivury 15 rri-adu "'u. fond at the CLn2.1'klb`I' OI cu t( rlT1 i repi SP:lta11VJ'9 "cgnasi. a."y'�$�"'J�E, i .00it, Ai,ll, k,ut not I;n11:; i ta. siacU 14t , Olivaways, Ui l inks, t E �, ,>`ltubva y, 4cpt c .YI`k, and septic systems, i ^! i ,J:nry, ;he ficsi, &;' at tf r owner's riaf:, 1i5#G; 4 agFF'G. MawbusesIn Q; anny Or ass ;i'fJY:tm<sm ofsabdWasyAmn Asn aerrunly and save i'iBiRlliws san Company horn any and a!i' Wma. fflrgrli" xis and suRs hor OF an ct,..E u t of ::.� '1 in9'1(L osed Gyc ✓rr G;gfrom .,ate- 1 2uVr' d^'iiv8ry. mala„ a, and seTvicen-..*shown-'icve,'t1A.eo receivod, thm i1 i k ti;r4if;...S`1owr a ro cafYE:H;' rjh 1 1a1. the ei n mi w ; 911 r'ddra W To Clt..^.4 s n requaw 1.4shown u rG ly. CAUTION: Tneadvitmn c, r. c7.,y L"ti.:'i5 W. �. '�f^^":7F;^^! to?5f)?lr-,tl-it ft; tit',i,".i"!'_,Si1>Oi:°'i!'!C."�fF,lil th Si+GAO f^t;l. ,'•:a�v n1'i'.Vf!'i�`O"t"ullif'eC{..Svfft?.4'.M".(�illCliSiiiT'fM:::. f U. - Cite e .0, u iC 05 an h?"ra ti.is chageoff, Is oxccu( u'. /. ., CU`..Bi C<.,ngnr afrt'd00a l _,ZA>k?�v'vl i ("�.�'io r4r6,yr., a� tj`C!!"a. -.r l,Ta =Vc„' c''Tl: P Tl.'''.v is IJr00yPsus p.r-:i!`F:Cnt_ And PKpens=ofrl, l}t.t L,1,1; �iLrCi i.'? 1�Ao� iii !�i if}�; "1:., ..��¢ If 'hr.,� nyvfu c"'ii i. ; .. 'i EC 7!. , _ ,von Oman ,."., Pla''WC I..0II'i" Orc Pe Pamout' f,t, n r� ;. `_r IEt'JI116 , ivi6y ?. 4- :"l7 _.'jg . .,wt .: p] c We ", r`c�p t rpin 1142 Water Tower Road, Lake Park. FL 33403 South East Customer Service: 561-844-9994 561-615-0011 Concrete Tested ❑ Yes ❑ No LOT If Cylinders Taken ❑'Yes ❑ No - Water Added. at Customer's Request 00,000 aa. to full load Comments .gals. to 2/3load gals. to 113 load r+z~s. tr rt-•y;^ 'r ;;1 •I'pv . r. ; - Customer's Rep. Water Added IV 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 areaspromptly with water. If any cement powder or CONCRETE WILL REDUCE ITS STRENGTH SURFACE DISCOLORATION mixture gets into eyes, rinse immedfately and repeatedly with water and get prompt medical attention. Keep children away IrDm cement powder and all freshly mixed AND. DURABILITY. ANY WATER: ADDED IS BATCH TIME cement products; _ AT CUSTOMER'S OWN RISK. Load To Job On !TICKET# PLANTY✓<3'+ ORDER#„ TRUCK#'.LOADSIZE MIX SLUMP PATE _ CUSTOMER SOLDTO - P.D. RROJEGT# 6;8 18 _ nf:l! INI"4- I',1-I ! i IY l f'dl:i S174 U I Iola DELIVERY ADDRESS ZONE# USE DRIVER KI—fII.-Prt('I,1 r;?' _ 4--'4,t ;TLtN_'TE, far, 53:t+,.31_• : INSTRUCTIONS' - TIME DUEgill _. ORDERED PRODUCT CODE PRODUCT DESCRIPTION I.I.O.M. UNIT PRI QUANTITY 1 . i1!!i 1+ty t.;m 1 50, 0 1 y-;" s, '4'I .T.1 i?: ' : L UP I'l t.:"-IrJL';d 411 a , f;io C: (i>.i FfdV T Rl f i�IV +; F.r)Id`=f 'd"l i}L n j I P I f-,, i L, v`.,lZ Sklldr'! !fir:!:•' d rV+ 1:47 !t•t LId.I)i-IY GL.L.1.t1f.f V f y SIGNATURE WARNING - ORiRECEIPT -CON ETE AND ACKNOWLEDGEMENT OF. HAZARD ase meyer qne a Company willno assume liability for any property amag7orany SUB -TOTAL cqulpment daTage.1or any deliveries beyond Tho curb line. i TAX' s' / AUTHORIZED BY SHIPMENT'SUBJEOT TO OONDITI.. NS NRE VERSESIDE. TOTAL 0 I'+:: I '],a it"ADF SUBWO 'a i s'i Ht: ht3L3 O'VVP OiwM )ITIc: NSA n c , .1019 roadovay+for o,i t ckn from be sam I paVna Y n to to Q cc of de[ittP ) l lF:'-?� ,.. ool SU'' bF Clod av, xer'C.01 a,)r;w t, _[,st' " eYiOR to SWP QN4010Wi Cv ultunsony"emeoEt PA. ii" oval, C_ 'wia 'v'll LP narj 'c v,-r'l:)18,Vr c.Yiy iU3' wl?62G [heYe;,Y %. iif't ri rl(3 `it:ly it 711:t,r 1�E /Jri@EP.!;1;1'.?!l F�:i YrY€'r!.'U*,-i`fltr�i'UfC.A,�..:AiYIE`!'!k:"✓�C,FnE'I,a3:il,. �t<'y�`i.7:, di".v i«rli�t +r .�: ...':I. �l±j but n"t'I: ,.hod :o, ;;lcji. t ' 5, ortvew'ays, h ,`idliQs, rise,, snrubbe y, sertlC tanks and s6ptic uyverns, inc1CII t, ira : aii ('K �.;Y? at'he ot± aor i r sk' +. . I ',':SSL r,.i ejec o 5 rt<F- c; w fbid (.;JTlpa ny hm!uU a, f lne and equipment ay rc3son of U,C ooi J�y, r ici s;, '.r, Tom hyena S'd'J9' <.rT Sfi nil[' Cc—,,ol, from any and aH dams. demands and SU!ts for of on accanl cr or lit a-".,,' -t±a r,rerr ,ed b�c a ina'cn pl eau -a 'irl �tvA dei�el°/ G OUS::,'11i::rfl�.ir.AJi6'";�2E ,`I1t1.Ai hlo-',rlA! a, tdse.f0-es,4hownhavubee nl"3(ie;ved,[y',3.t'! rUCtt :Wel;.l.;w& de cry 1, i .i That 1r,c .RMOD'tt Q'wanr dJv'Y at .tic request in shown cm redly. ✓,.'A:I1 ON. the addown of 4vr w rodoc^& Cori.rt:tE ,t IL'gth a r d d umh':h✓.. 5 VV0 ai:lt. not raspansibio for fidOod rc:sms obtained t earn this Toad of concrete; rrany hnporWntfactors aff'oct!na tt;e duaiit4, of ine.completed job we ANSI our scope of responsitlil+ty and pontrai. ' (°f f,it oor i 111'P" Lh, r, - ,! orlJ, 1 cftsS 3 mu _tP.s ppc cJ )'C ljald u� !cc ljrtg tlrie: s :' fNCdr;ql. <C. eo'1 P J` Wu d GU - L r east, roar Win :C ox A.ran ul d Ia& atto pout a d4bgry t I I ldsmii. i - C ,b:`p'�E' Many C q,- t, n i"Cri + 7 c, cif l a. t O: fnCh_ ink, r� sf �,e I' .. r.t .,1 ,, y -..curl ,rt.enS�ii�t�f, `?,� y_ e.._C a7Y,:rtyr ,fw�,'f nE: S`.:i, vjR'r, ou"' Pan dun e, C0Ur{_ are .: ob,,oL't to a 1-1.,� r o, :1Fi J'1 'ie, inoi `. ua ,l fk �' ballt 'r_ FhP i?;,ki IJ �Stf' uC�6J "e...`?j}i Jf if1@ Coll1i lc fr; aodip 01 'I• -'ire :`. A01=1 Din 1142 Water Tower Road, Lake Park FL 33403 South East Customer Service: 561-844-9994 49� Ilk 44��t��6��i�l��l��I 561-615-0011 Concrete Tested ❑ Yes ❑ No LOT #'. Water Added at, Custorner'.s Cylinders Taken Yes ❑ No - - Request. _ gaW to full load Comments Is. to 2/3 load _gals. to 1/3 load. omer'sRep - 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 an mash exposed skin areas promptly with water, It any cement powder or CONCRETE WILL REDUCE ITS STRENGTH SURFACE. DISCOLORATION mixture gets into eyes, tense immediately and repeatedly with water and get prompt ement attention. Keep children away from cement powder and all freshly mixed AND DURABILITY. ANY WATER -ADDED .IS AT CUSTOMER'S OWN RISK. eA7cHatME; rk ^>�';a a sla Begin Pour ash To Plant At Plant! PLANT- 'I U1,t TICKET#' r}.'r:1!If, ORDER # -t `q TRUCK # 4:aJ LOAD SIZE tt?. Nt MIX SLUMP _�1;3fA1:+ `,'S.I�a'_t': I Not t=; ti, 001 DATE tir't J',...; s i.9 �.' CUSTOMER# SOLDTO F I„ 1JWII.: At! l 01 t'`;l3 S'l II_ U r rOW P.O.'9 PROJECT# 9004),= l7f DELNERY ADDRESS' KI fTI 1,.l'Ir4 s Xf" ._. Nil. ZONE# 'USE - DRIVER - INSTRUCTIONS - TIME DUE - - j'I Lt!; {2G; ORDERED PRODUCT CODE PRODUCT DESCRIPTION Ifflillilillyn QUANTITY y'9t'v'Ell 0 rl r'x kSl: ) (vl`i<UIJ Jri i '0(1 s'-.iVVT.RO k 14V1Et1 NI'lir.'M 'I OL rJxf;,"-0 1 4!?0 0` 00 LSF E_ I.il:l41'i?P� fttil..., r SIGNATURE WARNING OR RECEIPT -: CONCREIRAND ACK OWLEDGEMENT-0P HAZARD - asc mayerrcapereto Company will not assumeliability for any property damage or any SUB -TOTAL. equipment da ormiy deliveries` beyond the curb line.: l TAX - -. AUTHORIZED BY SHIPMENT SUBJECT TO CONDI I KJN5 QI�ON;R VERSE'.SIDE. - TOTAL R TH IS W..L! VAOF'. SUB,?+CTTCTFOLI.DT CONOMONS! Custorior agrees, to provide a suitable roadway for our trucka ftwrl the street pavement to the plac*of dsliwv of rrlrnorja' Ift-,wc4suttable ioadwaysarp not pTalinded, we raseive trio right tostop del'veries until conditions anm remedied and, fr. surh event', customer wii'l b-aheld rerfpcinsible for any lcis,c caused thelieby. P-. VIfteri dcbv" is made heyond the cub line at the CLWIOner or cuslorner representative request, any daml�g" indifto but hot f Mitecl to, sidewalks, ddvewat,,s, b0dings, tit-)S, $ITrubbary, septic tanks and aeptc systems, including the: Cirmn field, are at the owner's rf;k. 3. The rusturner aqr;e5 to rernburse said Compari,'fo; runs of tame and (;quir)r-ne)-gt by reason of such de!vvory, and also in indemnify ano aAwQ harmless said CoMpanyftonn avyslrid R9 elawns, der Lards Find suits for oron atcovnt of or to any mannerrausod tt or axis' rtp from pr:Vate ail veway deWery. 4r all material arin servlcrtss�horpvit t1?V0 NMi IPCOiVed,thattrUckfimes s1hown. srC cot riol, lMd I that the a,.rQunt of water added at, tno Aaworner's 0, Quest izslicovjh corlectly. CAUTION, 7h(,, addition of viplet %ldLc4s concrete atrongthand duraWflity. Wt-arenotrospoosiNe, many impil.apt factors aflecli,,ig the OLn4c quality of the completed joo are beyand our :4,opp of responsibilitv and contrO. F. A cY&De of $1.50 per rnriute VI bo (�trarpv afto8 iaimutes.rtpr clMc lid unfoading brie is exraod(mnd. 7'rle- Customer }D pro"Ade a mjilabip 11m4-h dorn fedlit, for our trmks a,--,J tools at the pbun of, d0very cif matr.rl*10!- il Thi�cljstwmrr iiemby, i�qmes to uay all coW,) arid vcp�zee A �nciudlnq c, ruastriable atrornev's, ft.'a"It 1!8 sh I P; t!if ;all 1Q pay for the Mi&rvtd1Sa nV!,MAi d fri this;wolce. wf,pn du ,. Past die akxc'ends atu quh]oct to p 1 -v2% wrviw 1. 8 i lgJ no n 'I'll C., u npa I'd p a �M d �#a ba! a ctf �e � h a cl� -, to m e r n. (�, reb Y VAL, k-"3 sf3 rof, r�, ipt of I � t a Compl e, a copy �Yf tri I �� C 0 1- t ra I -A 114Z Water Tower Road, Lake Park FL 33403 South East Customer Service: 561-844-9994 5616150011 1230409 Concrete Tested ❑,Yes ❑ No ..LOT # Water Added at Customer's: Cylinders Taken ❑Yes ❑No He est gals. to full1oad Comments .gals. to 2/3 load gals. to 1f3 load ,r ,r.ne. t l t t N V .t Or ff J" . A -• I Ltstomer's Rep - Water Added - NOT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL WATER ADDED TO THIS VARIATION IN COLOR OR Cementpoiymer 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 medleal-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. PLANT TIC _ ORDER# TRUCK# LOAD SIZE X 'SLUMP :DATE' htd?: s ^�:.'er_'4 r d '" ! Vk� t` 1�'r�lc'1iP•L'D'r d r;, (�G'S'.11, r'c'E.t' ; `s ,k5 .-�atl .`IsVJ;] CUSTOMER A SOLDTO P.O.# PROJECT# Y. ElLC DELIVERY ADDRESS ZONE#. USE' DRIVER - t,WYTfI-,ls;+RN IdL) G',..r... ril L.l'I: Y. L` .INSTRUCTIONS TIME DUE •.. ORDERED PRODUCTCODE PRODUCTDESCRIPTION U.O.W- • QUANIlly Xrt„I;c, a,4a:. w 7 ,1,,5)i ...1?r L,1,'1 t t71U rti„ L.l:-J L.J tv 1120 "l ';t [ .I Ir.ilr:£'td r Sit Y1 41:4'ia o; t I 01 IC1.tt:o 0. T OVI1')r_�Q'1' r+F SIGNATURE WARNING OR RECEIPT. CONCRET DACKNOWLEDGEMENT OF HAZARD. asc meyer note ompany Vill not assume liabillity for any property m_age or any SUB -TOTAL equipment tlamag" nyftleliveries beyond the curb line, I j TAX f AUTHORIZED BY - - �SHIPMENT SUBJECT TO CONDITIONS O � ERSE SIDE. TOTAL "ej L, u V aS MADE SUE)JECT'rOTHC FOLLCA1 COND311c3N& : F a sj it; ihl- roadway for ouru,ic;xt. forr the sv�C-t pavem6nt to the place of d6mn of - vs are rV i rovidud, wo re-stwo the (;,_jht tostop derveries Lntij cottlitions gre ir: weT', be tic,-d F'Rso-onsime for anv causec I When delivery is rpado bPycnH Ve curb nr, al tl�c citstorre, orcuslorr?or rppr,?sentaPviYS� ieauest, ar.y diaroagcs ?nC:ud16,-, but not 1;(nited '�o, s:rlevv,,jk?, drrveways, buildings, lree,a, ;�mrtjbbery, seotic tanks and Sepfl(,, Spterns, ;nC1u&-.a fl,c orav "Ot( 4, . ro at the o,.vner s r;-K, Fhe custorneragroos to renturso said Company for loss of time and oqiqpmoni by reason of f;uch cl,Nary, a-d :a"zo 1"0 i i ndE;6--^ if and savt$ harrr.,H .. s said Company fforn any Foot all Clairnq, dernands and 3wts for or or Pcc.'.iM of (", In rrgar�."r b'Y Jr cleising from pwato df iVC'Nay delivr,,.-y, 4. Customer acknovdt edges Tnal zill materiai and servicE}s shcwn have oven rorelved, tbattruck time., shown aro that t,E, avrount olv-,atc-r added at the customer's reqkjastrs shown -.oirectly. CAUTON: The additton, rot livptai rcrocll,, concrete strUingth and duratility. S. VJ0 are no4 rps,po >ic Gl forfinished results obtained from thts load of conc rete; many jmWItant factorsaffectingtlo Oir,<to qUadity of the, co, nploled job are beyond our Scope of tesponsIbility anJ control.' i. 0 A cha,ge of 0 -17!' mit --a c;� e.rg.w1c oflLr 8 mi •,jtes (for cubic yard unluacing time $ 7 T na customer' agror;js 10 provicie, a suriabic Wash down facility for our trocks and toots at the place or dativety of material, 8, COY to plyz�il costA aril expenses rsf u llection, m,Li&ng a reasonawe artorne"Sfee. 1, h- 3114 +ail io nay for thz Fla hand -,e idiec.tsd !O this in.vctee, 4y1hon due. Pait Cup accounts are subjoct to a 1 -1;2jc c., I o r?..2! 6n t.ja, . -7p a! r.1 pc,.,st nuo Tj.3:&,;C4,4, Tlr,p Cs I stJ)r,.er riarev ankootl:-dqes roceyt 0j the CotTI p I C-.0 (;Op,, ce V iti c" I, e': �r rw' 1142 Water Tower Road, Lake Fark FL 33403 South East Customer Service: 561.844-9994 561-6115-0011 12SO590 Concrete Tested ❑ Yes [] No .LOTS# Water Added a stomer's. CyllUders Taken ❑ Yes. ❑ No. gals. to full. load Comments. gals. to 213 load gals. to 1/31oad -eI' Ir tI i it+ 1�'. I I'- i�., r�. x�r• _. F 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 Contactwith skin and wash exposed skin are,, prompt with water. Il'any dement powderor CONCRETE WILL REDUCE ITS STRENGTH SURFACE DISCOLORATION mixture gets into eyes, rinse immediately end repeatedly with. water and ..got '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 36 cement products. .y, Load To Job on job Beg -in Pour Begin Wash To Plant At Plant, PLANT TICKET# ORDER # TRUCK # LOADSRE L . MIX. , . - . SLUM DATE r - 'CJ=O I}•'.'r"-i j i,I_I ll,'J „Al:l !il L+f '7li; il_ ! r", fn� 1,'• CUSTOMER # SOLDTO + v' Roo # - PROJECT# i d 1� C•d„l;i!r'.. 611,j;'.:. j7Jf.{ii '1TJL.1:rIuld ' i,1++1{+,Sw DELIVERY ADDRESS _ - ZONE# _ '- '. USE DRIVEfl ' r z-1'Tw I,INI{IN tar, PA' It. :,,; t I It I r INSTRUCTIONS. - TIME DUE PRODUCT DESCRIPTION I.I.O.M. , t fi`.!SI, di "Cl 1.. 1P10 U,. CO+, s I t,l 1 {sltF r'Idfaral,l: ;. �0. i.INC, ll, It�C'I ^��.-r �?�i' I_ltl:" 1y' W—I- ;f vr--N y SIGNATUREOR RECEIPT CONCRETE AND' ACKNOWLEDGEMENT OF HAZARD WARNING .: a3c meyer or ompany willno assumeliabilityor any prope. damage or any SUB -TOTAL equipmentd t rljny deliveriesbeyond the curb line. - - TAX A MORIZED.BY SHIPMENT'SUBJECT70'CONDITIONS N,REYERSEBIDE. TOTAL "S MADE I%j �3 ay for our trunks! rwi the sireet pavennen"o tnc pecs 0 ddwary of it omit. If such sliftab'q .roadways an, no' proZ Jed, we reserve No r In � to stor) ';A,;&Oes; L., titil condilini,,.i, .9 r.� mr, ic r� I e�c and,' sqcl eve,`!,m custoOr w6l be hpi(; for al}'IQS$ CaLlr,.lj incro'by A VMao delivery s rnadolocycjrj the cwt teat' the custorov w cuslarwar repossenLahve's qry LA-t net hniied to, siduwa*s, cinveways, buiWing, 1wey wrubbeiry, seplic iank; anct t,eWic systcrn,, mcluoinq, trio drSc fie'd are at Ixto rnmner's nSk. ? 1 h) uUStCr ¢ r aqr@-,s ) Pak, GoiVoW tar w3 v tcemnuy and slvc htvrnl--si 5-3kl N)Il ary ,I;' 6:f'wnQ mad snits, tki- or ,- %cr.e.Lwt of o jr Y! A, mrarin Cl' caused by c) t ai isi),4 f rorm p! ivac di,ive do livery. 4. Culomw wknowk,dges that c'i,nanrnal arw so:v;ces Show have been racevoU W! trucktmossho= run corn,L P-1 We &rabi!itv rf't 0Jn for c"", -e'v v f,�flora t,')c if. ont - r t�Y- -�-;n Cf C Ob am haprdwrcwnsz4 P rj, no" r'l llj_o I bc C, 3row eflar W a ocks no, One (,"c-, f. 7. 7o ca- Own p2rs,n n, pcp4e 1 F,VWF -,QH,,;w I. , "j'u,;, mT0hp f don✓cy of mlw ?? Ycl -00TCC40 jimmmok PP'T7Wovd V50W =Wgm VaOUVIclearr on "PSI fer me lwM7Vndwz rjrt.II IYis �of, t7 T :a . o::'I'df Q00AWYal , j pj W v_'YCi Ct. -1 AOF"H 1142 Water Tower Road, Lake Park FL 33403 South East Customer Service: 561-844-9994 Oil 561 6150011 1230511 Concrete Tested ❑'Yes ❑No LOT III 'Water Added at, Customer's Cylinders Taken ❑Yes ❑No R est gals. to full toad Comments gals. to 213 load gals, to 1/3 load I ,uF FI FI 11 Ic. -r to If `•''I ustomer's.Rep .-Water Addedi - - - NOT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL: WATER ADDED TO THIS VARIATION IN COLOR OR Cement polymer ar freshly mixed concrete may cause skin injury. Avoid contact with. CONCRETE WILL ITS STRENGTH SURFACE DISCOLORATION skin and wash exposed'skinareas promptly wdh wateC If any dement powder or REDUCE mixture gets Into eyes, rinse immediately and repeatedly with water and get prompt AND DURABILITY., ANY WATER. ADDED 15 BATCH. TIME medical attention; Keep children away from cement powder and all freshlymixed AT CUSTOMER'S OWN RISK. 1; =9p- cement products. Load To Job On Job Begin Pour Begin Wash PLANT TICKET# -'ORDER TRUCK# LOAD'SIZE 'MIX SLUMP DATE 741.T ti;!r,l,,'_ I'3 i Iu .',.1 , C],. t, _,t�.� ..7f%L i .tit..<F: CUSTOMER4 SOL0T0 P.O.# - PROJECT#' 1L,,t�ft OT,il?,'irtE DELIVERY ADDRESS ZONE# USE DRIVER f `.. . I14111CIA .'!o -- P- A t'ti,'Ai Xis INSTRUCTIONS' - TIME DUE 'If I V:. I CUMULATIVE ORDERED PRODUCT CODE PRODUCT DESCRIPTION U.O.Mp UNIT PRICE AMOUNTLOAD QUANTITY QUANTITY QUANTITY T1-i':AE'[lh!Zt-R 'l0 ).. 0167 111'! J tti) t ! :I i {..r. tiy,"�:• 1`i� t-?L. ]s J L-r�I l i:=i I @LiP_°a_'.'h;I'i1s3FrEni D,i 1L'I. Etl41 .,. 1-,�1 *i''r E,St rI II'if?. tY Ftc•t. T.'p L... h:\' ^; SIGNATURE OR RECEIPT • CONCRETE AND ACKNOWLEDGEMENT OF HAZARD :WARNING_ asc Mayer on e e ompany willno assumelability or any property damage or any SUB -TOTAL equipment damage for any deliveries beyond: the curb ]Inc. - TAX �,N it AUTHORIZED. BY HIPMENT SUBJECT TO QQNDI HUNS O SE SIDE. TOTAL A '1 4''t-t-:`..) eh RRA Dk= SUHjE 07 yyp ,KE FOLLOW COFw'Ek'S'Si:'NT N t c Ogre, IO Pi 4i "I I �� q t�ci� fVl D 1 � h5 fI 7 �1° .d"e` � eaVC ?a 1" ) me plact ® t6N OY Do youQ .. _ _. :C- •; lil�_ _ � rCl'l. (; IrC; �; i, �.C?4:i. b •.v''.. ..,.1111 j7rep w'.l:..el _ lCif'o., .,I!Vc.am Pon 7n_ t)e'k t' )t I!W"; .�'o' NowayK fl .eiYPG,,. t o, uhiubbu j/, SwpIr ianks at i Sept,,: r•f tx f i.'i: U.1 y + ',i �., ) l ° ^w'Jt' a (.5*.. `]. r� e at0 re -t-,,. r #ter ( r) `r ary f• r =;jrn^ "'nd LQ,V1K197: em by Masai of sums dekory wwr 13 .,, dl.;j Pll li, _ Styr; U 1 r �3Inv Con nI I J Inn ut nllL- s;� dE d UN 9 rd MUG Wit -or dII and s'_iV!c ,Sf'C)v^ivqb-ir•^.f_a.,': 4'U, u''aI?�t.i:iC �tp lr•. ^Vr., III i,'le adll';O?I Ot L. 3. 1116, ,�pr nr,t rC vL'Os Ci ^ for ('fYt3h, i ic,`;u�Y� UhtO�nG^� fIG�.^.l ill{s ?rad 9f C`-PiY xsle' r�rah t y O,` the complated IOb neE b 3VOC^ UUf SCaFJEi OL(O 1C10ti5lf`iht r and Goflil'OL ^ct tH ;o CN ! _i w v n 1 WAS Pw Ot !"C Ya: 1!rile0 IS C'•C", "C'1. I'. h: GUSior -,art es'to P. 'viCkC a s. t;zb,z vy, .sh do rq h Av AraxVu e and :s A a tI'<, of tefl ,,t (ry r,' is .J. 61 i (i'4. aby Sits e,- iC pa)! Cali cast(, r'"ti'd Eii,.:4.,.ur;EE of .,{.i! ?G1-••ir:1r6, Inciucl tig a re,3S()I'1:ab! ? a'ta!neC s Te;a,, if he:.S.i'ijJ r1 (C ', lrI Ax'; " t vat&1P Ins lost dunCCouRs x. Cn{p ?t,91-i.P , ZON&I ia i, a ..,, =saG_ :LEn .rebya nnow%t:.i rf..C.;1FN,) th2 LU-�etr� C .yjn i Am=:%M 1142 Water Tower Road, Lake Park FL33403 South East Customer Service: 561-844-9994 a 561-615-0011 12 '6015- Concrete Tested ❑ Yes, ❑'No LOT'#: Water Added at Customer's Cylinders Taken ❑ Yes ❑,No flequest!� .gals. to full load Comments gals. to 213 load gals. to 1!3 load Cctstomer'sRep • water Added o T its l ", ""'t,%i If `K' i ,curl - - NOT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL WATER ADDED TO THIS VARIATION IN COLOR OR Cement polymer or freshly nixed cohprete may cause skin injury.. Avoid contact with l wr'h water. If'an cement powder or CONCRETE W STRENGTH skin an wash ex osed. skin areas rom fly SURFACE DISCOLORATION mixture gets into eyes. rinse immediately and repeatedlywith water and get prompt .AND. DURABILLLREDY WATER DURABILITY. ANY WATER.ADDED IS medical attention. Kee children awe from Cement powder and all fresh) mixed BATCH TIME p - Y Y AT CUSTOMER'S OWN RISK. •: &�4i� cement products. Load To Job Job PLANT :TICKET#ORDER#. TRUCKW LOAD.SIZE'. MI% SLUMP 'DATE lfrt,. „=; e'_•vt 9/,_'� 1€'^i 1Vl 'i +.SIt '"'�I`it'h1t(;}t'?.'(t i+,,=;'.r7•T CUSTOMER'# - SOLDTO - - P.O,:#. PROJECT# r—. ' fiL:f! I;'C,'f5=;I!t_IIfTtlid DELIVERY ADDRESS - - _ 20NE# USE DRIVER VtT i t#4.'s•.I P?I<s dD L.I,:'x .)! '? 't vrt INSTRUCTIONS - TIME'DU! LOAD CUMULATIVE 1 ORDERED PRODUCT CODE PRODUCT DESCRIPTION U.OmM. UNIT PRICE �.Alivileigiol� ! QUANTITY QUANTITY 74. aft .i Idt:.li tfllal 111 V%; JAI la. :at' at`i'kifa',3r�'i Di. -I 111F:HY .Tv SIGNATURE WARNING' ORRECEIPT`- CONCR AND ACKNOWLEDGEMENT OF HAZARD asc meyer> on rete Company willno assume liability or any propertyamage. or any SUB -TOTAL e� "rt n deliveries. beyond the: curb. fine. equipment tlama _ TAX AUTHORIZED. BY SHIPMENT SUBJECT TO CONDITIONS O R ERSE SID - - - TOTAL I ; ) tz•�RA y^�C f PJ L �' 5 e: n+! ^�u iY ONpy �lI ....I1 _'I ll'4'L1.. �%.a LJ.t � �•' �Y1 ... u 1 'Yt, it ''.. ... '. '.«i0218: d1�f@F.9 i<`[)L!J`Cf23 UI". "J is (U�C1NJdy'1`OfO ;l:��c if'J:TI`'�1P.^sircetpaL'21"n&,! tote fi��CP. If SIIC,'! si Rabin icadway^, am nW pmvde% wa. rc,Seme tno right le SiOo :'1Elmsys umil u f difi JP..•; sc rerr.. ,, tod arid, iil e`de•l, cil toni?, wN be hdd {@S ww�D ible for ap,,v, lose t ausea M chy. MA rot hf IPted ays, tiJtwi t O es sft, lbi, Qry ?e jptic :anks and saphs stymernr, vc .ruing Mn ,"! %,' Md. are at the ownees tY, .`,�. I" £ C, `.3t3r r a't`{iBn5 M .7anilt use sod'. uyx jAr wj W to c nvi(i 4,nv rpl n.?fit by fN;, .oi"7 0 uuC 1 1 �Il:r• � indo Yt'1ly and save han abs set vY mpa y Wei any and 6H cowing, demands P'id U14.3 tCtf QC t fi c(.'Ci?Nf i poi or ,t' ww i Td!ifirC lu5E(f bVG ��tl?Lj ('"4 Tl l,'i.3Tr:lt� F.V1,-,•'jE'IIV'c'111. C L;�.Yprr'Er 1L171<�, dli_Cf�Sf:S ti- C3i, �fl Yta dlswxw TKwq ,.. b=.Fe, .;l.,k+Ea,[natt".uti,rames AS up wo coueo , Hot theafl'O+xt Fl of. wate! a' the ¢4-,,tD e s C,.,gUO: t ,E ; i 44 iC PO; -;Cry Y>t' UT1,UN!? '. The Adtttt Oi3 of n @tC Ctir r':T1 o.i dt-ICDtol,f/ k5" oic r'Ol t r sporQiole lr f if � 'c lift_c from Pc,,-' C r, «�;t er.' .'t f?__ dt,a^t r' f Vlt:i=,i'J (,LL,I'y Ct r&T ::CSff'1'l�a 1( /. jon w a ,t yt- d O . i%flee of 1'�Sf7ai�;;x. III ,t dl Cbr troi. :.>. A d ,e: ni nA a M us., -a, g d F» '6r 8 I'Ifl,lks Y,_ni,, jt3 C .I ;,. clr� Cfii.r ail t iy `J ^,:r wnq k Cl ws . W ..iof: C `jt'lilk£'.', o 77''Pm'! N'c CP 1i171'c; ee"',.0 oav ;,J1. di t CA C,�Jn t., _; tic s,,11 [.. ,_x''.i'.cl GF1s1V LCxi,:wd post d :: ,1KI ,,C -4 JMM= 1142 Water Tower Road, Lake Park FL 33403 South East Customer Service: 561-844-9994 Concrete Tested ❑ Yes ❑ No LOT # Cylinders Taken ❑ Yes ❑ No Comments 123 i 13 561-615-0011 to full load to 213 load to 1f3 load Ixvl an 0AIN nlvv crca ADDITIONAL WATER ADDED TO THIS VARIATION IN COLOR OR Gement polymer or freshly mixed concrete may cause skin InJurg Avoid contact with SURFACE DISCOLORATION skin antl wash exposetl skin areas piomptiy with water. If any cement Powder or CONCRETE WILL REDUCE ITS To mixture gets into eyes, rinse immediately and repeatedly with water and get prompt. AND DURABILITY. ANY WATER ADDED IS BATCH TIME ,. 1 medical attention. eep children away from cement powder and all freshly mixed AT CUSTOMER'S OWN RISK. r ' .`a �. cement products. PLANT TI Cplt #. ORDER TRUCK# LOAD SIZE MIX SLUMP DATE I i14 -4liar ;".:fl 3.'t4�1 r`. i0l1 t'1 .=°xl"I.i -il i)I"f.'}llvil'_.'f '... Glli 'LII it" ra j. r_I CUSTOMER # l SOLDTO. - P.O. PROJECT# ni{ j'lif. l.rv. •I { U ('d V'.q SS `DgEIVERY ADDRESS ZONE# USE DRIVER _. 1 L LI:_:I ;. S.aL f ! �,-, I`/ r:t<}- , INSTRUCTIONS - TIME WE A tile, f.fq' ] �:'•) �Irj ? '{'', �i T L-.��'{.;:i'3l .-'. I. u' ;a'Y i7r-:A !!vl'.7i'. t? V'i {{{I t' ( If il...r�+(it f>3 ;:. i'i: C:.' ♦ i'.I {. {.I jl-rl�iiLrT\i `ram IL p l'.+ i@J,t.3 L.cJ Ga}s'. ?'.{;tL;1•!i 'y ..,.y ..a..y �' ,,..y I SUB -TOTAL beyond the curb line. ITHORIZED BY TAX TOTAL La'..J Y dv MADE SOBJ CT TO 7HE FQLA,_MN CONMT9t Nz.,'. Zoo a. ,iia_;e roadway for out tr icAs tiom the sh eot pavement to to pass A del Very of ma'lk V,, h}". ','t vsPr. 1 t,,,r S ec.. r htc s }i ,ov :'tip ',.aS _,r- cr',c0 ar) a:,d.• ..h f .:..1.� I. f}IP. I"G3u v.w� -. C,' f', � �.. .'.ieii !... e.a!Cc , 2 Q.. .0 atCtp' d'c,ll .. e3 Lf.. t.U'�u'I41i.. .. _ -. ... c-u corer .OH MNO re qebfe for al ass causec thereb'v MFn de,'D erg'=S made beyond K cu. imd 2trh. , :.1.StCG16r Or C.f3t0!i'.2C r2pY'(?ocnilitft r?'S rpique hrly d9ri a'J,CS h.1:T.r1 but r-,ot omitai ion szo ddk5. d, omovays, cu`ldingJ 3. tress. shrubbery, Seplic tanks and SOPVC Symenis, lnujUdng T` C "W. fin.!d d(e at As rin,ne"s nsk. e1, i as C'L' Stc' 'ilf:r a }I es n re(m ane said !?.O'ilpw y tar Was time and eCJuprilent by/ re2sorr Cs? .,Ut l ocli tio, -3"i� a':.::�.:� � nd^-Y ly :.nib savF ha il':CS5 Said Dampany from any and aH daims. demands and su4ts tor.w C "Fz3..CCtiH t Cf ;v in rnariiter caused by or arlang f cnl f:Cyate driveway del'Ve ny, 4,. +`_o5tome d;}t.cO rvl'2 (ty hst,V man nal an sar'Oce _ shown =6 busri rece;ve;, Vrattuck Imes oxo a c n us- - ... ,hav ii e awtowt of %mr added a, th.'. usto ^er's r€ y ast ie, sh ��:! eorr oT y_ nJTlb�. r�� d� iron cf ,rc r r' Luc= C'7nr,e!e-rit d dvac j!v 5. `;Cope and mm trod. f . ...... 1 agivas a uwu va d _, .eY_ natli d N,n a...l',4 t,rty !" �r+,JC7(6 and te)rt�5 rat t"e: D�'•w tr .,r:.i4 ry Ci C,_.... --Cg nay v ?"._ ; oil raq se-, CJa .. fir„ :!CFI, 1C' 1G1E?4¢ 3 FZ ,cr��'. r f1C'," , f'c- Tt t:e rc 0 0A, farina^ -, .3GtP0 [.' 11 � 'iVP`_.� Y, c Pn Cu,-,:Pa_t dt,e 1{'„ ountti c,rx: . Me art . Palsa. -nee. KP a ac Pvty� 1. Jl4'6-'d^,S r�S�:IfJy'Orb .;i g�-rT4t ic., ► r AMM 1142 Watee7ower Road, Lake Park FL 33403 South East Customer Service:561-844-9994 CONCRETE 561-615-0011 J 11-11 1i pilli I I I olill! 11 iii, 1111 It 12M 7 Concrete Tested ❑.Yes ❑No LOT# - WaterAdded at Customer's Cylinders Taken ❑ Yes MIND Request to full load Comments gals: to 2/3 load' gals, to 1/3.load - r.='r e. ,V V-, -, PI If i.• n't, Cus omer's Rep -Water Added t„- - NOT RESPONSIBLE FOR. WARNING' IRRITATION TO THE SKIN AND EYES ADDITi NAL WATER ADDED TO THIS VARIATION IN COLOR OR Cement polymer or freshly mixed concrete may cause skin injury., Avoid contact with skin avid wash exposed. skin areas promptly with water. It any cement powder or CONCRETE WILL REDUCE ITS STRENGTH, 'SURFACE, DISCOLORATION mixturegets 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, cement products: _ AT CUSTOMER'S' OWN RISK.Load I To Job OnJob Begin Pour Begin Wash To Plant At Plant PLANT TICKET# - ORDER If TRUCK# LOAD SIZE MIX. - - SLUMP ` DATE a '+0 i l " T=•1�"3 lt CUSTOMER - SO LDtTtO P.D.9 - PROJECT# -' I((.Mi _ XVIJC-1i'� ?�I��lt.,ll lry?� u��..t t�1,:h� r.l�+.al J:lir DELIVERY ADDRESS ZONE# USE DRIVER - - N..ITI.I`,"lAN Rat " PiLi_ �sl I lt'IP �1in ':frgClnl' C+r, lS!•al INSTRUCTIONS' - TIMED E L N LOAD CUMULATIVE I 1 ORDERED PRODUCT CODE PRODUCT DESCRIPTION LIJO.M. UNIT PRICE a QUANTITY QUANTITY QUANTITY ,.I , yi; i ;. oL'.�. C'p� i �...i, :� t�iil.. �J.i' a ° Id=± :o-1 i1-'l,ll :'iilAi� id :l 1 a le 0 a, i'Gr t_;"'' 11,61 11419 b �1,?s :.l'd r.:L t) 7 is I:-v Y o.Il 0 hJ.e L`i'. !.' ItIi ;I I --I w'i1 f . li,l•o--' 4. l 1 rIr —1 4W Is, k ,In -,.At �'iP l I r.; I_;ta r t + L l Vr'rlr v al� SIGNATURE OR'RECEIPT:-DONE ETE AND ACKNOWLEDGEMENT 'OP HAZARD WARNING ase meyer o crate ompony willno assume a 1 y. or any propertydamage or any SUB -TOTAL equipment d rm fo .any deliveries beyond the curb line. TAX -AUTHORIZEDBY SHIPMENT SUBJECT 70 CONDITION Y N REVERSE SIUE. TOTAL 1, rF i'n;- '� I upon suoixnKWLND% CONMTIIC't`�S: I I Coc�t, viit�,r aq.—c c,d lo pw one b skib% ruadway kg our! 4.octG fro, n the strel'A Pavement to tho Piace o" 6oli ve ry Of it Iw 2. ON hill dehvwy A rnad'colsyci,d zri) iWG on 016 Ui,stilrot I rivingomerrapre6enlaWe's i I i� 17J"'o Cc but nul hro Lou Q sidewalks, Mnways, hultimpC on eq �,eplic alld S4,'VAo IYF I Crnc, k r,' �0 IF 0 F'io' %I, fic�o, i! :,s owrior's W 1p ruiffibu ss sdw AM no,y to SUuf W ,oil nru to wnt by rea�,en ofsufmde: i�, ro., a Nn goeni I and lowe non Vni mo Ounpany Win Rny and a I A nova P=nds Liod,;jits tor or of, acf j,t n-;r ir Mamie 4 CUSI,01'1101 a7d Sorycob a owl i W n oeen YeCuVad, thal trox times Hown = cameo: Af, trol lh'7 aAmoum'1fwvc' WASO 1, Zhu Curk WS wasol: n10 n coNawly CAUTION: Ro admaw NWG: maw 51z-'!gtlk and 5 AN, are .�IsWinaQfrorn this �nao -f cnnrota*! U to A cpe,,i,ci,tIne ccmp&1dYh ore b-4oa,; L, I,rC— OT' .;n bL I roCr jF 11:: tJ:r yarcul fi3rjcirj, '.frn" 7. Tirl a. sto, or qnNo M provdie n Fq 1: io wan"i Ono. I % it, 'S t 0 'AS and %54 It t .(l 3'<orn (" zlc:r" sl , Tic . 1.,o n ie4hj pg ITs to pby :E _as, cnd n,v no lnc�iud; iq;i E-- net, '- -- , "!, � Q in ;7Y to r,hr nor I wo Z, py%, I i P :1 iq -% '. J. i C, i , P� 'S: %_ in t p- L, " a upon j pnwK2 bo 1: i noo—or rvx—'ye�; of Am=41'Moll 11142 Water Tower Road; Lake Park FL 33403 South East Customer Service: 561-844-9994 M I�f�►�4,i`4��I,��1��l�'1 561-615-0011 123C537 Concrete Tested ❑ Yes El No LOT_ # Water Added at Customers .Cylinders Taken ❑ Yes ❑No Request als. tofu.. load Comments - -gals. to 2/3 load gals. to 113 load ^_zp6stomees Rep - Water Added IL 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 ski 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 immedateiy 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 r L_ Lk cement products.. - - - Job On Job Begin Pour Begin Wash I To Plant I At Plant PLANT TICKET# OR+�DER» MUCK LOAD SIZE MIX SLUMP DATE 1..�'i`F 1 CUSTOMER# SOLDTO F.O:#, PROJECT# 1621 i t+('li:_._ ,�I JJ.i L? rf,tT Y,II_Ii CiR7iJ 'K: 7" J: ! DELIVERY ADDRESS ZONE#. USE DRIVER I'( I.r 11-J;diikkl I.i7 . F` A +il 1-1 !L iL rF ri lam:`✓ 1 0 Crcr l r, .INSTRUCTIONS TIME DUE P •#Oil••� # .•• •>I ••# r • • • '�t�7„ ir..117 1 i � • i:.i✓j L l . n IL- a �� Li.{'.,� I`� l v'�ytn J} II 'l�irti Vt'�r? t �F t,t`S1 tt„-1 l,lli4ronr •rpItnt UT`+`r} ID ' 01-I. -i lliL"tit a: f}f: rrdr I .`-I' l IF:%ILTti' 01 l 1IJEN,Y l y SIGNATURE WARNING OR RECEIPT - CO�C E AND ACKNOWLEDGEMENT OF H RD asc meyer! a ompany will not assume liability for any property damage or any. SUB -TOTAL uipment dam 9 fo eny deliveries. beyond the curb line. TAX_ :::7_NDITIO AUTHORIZEO BV. N,REVERSE SIDE- - TOTAL (L tt, Y; a,J. y sb In om u ; a W ` e 1'03d: ay for ow A c ;" if :.ti.:c i--..advG ays-f!ro ow, tea Wenue[brt 'AA stopden1derk.3 ij ti'. non xyqms tie fo a-V lose a'J -tics thcr ;�. 1.. 1r�/f ,-•I`Y f{•^: i... J'3'715Cj.. ..Cy i'.la. rl =. .,Jt: iL` s .i`{I-[?,�USi`.?II1F'(Ci7 C�S".OrF1c^r YL'}7Y.? d,R,zliiLB _ i'?C�1Jf'.. , r, Ci'� " � _ ^ U f.t !cl :L LC tti oif,�b,.:5.k.5. L(;WEy s, WHOff'-'., trees,. Sr61Unry, seubc talks and sL^pIc s; 91C S. arp at fns ^Wnnr's nEx. ; - 1 c C.L'tn nCr (ieJ eUS J r dmhan, swo company or .C. ¢ at .nd aCfwI3MOM by ceasoJ e1 ad eonQ an, save arr s .sa;j i".: nip n. fro.m. any and a chi.. is, rlentt ar'ds and slpYj fJF ": rc !'.-:iv _ � In JQnilr^,r ca us iii'vor ^'frail of a to a jvar,'ay Cauvery. C;istCr.,tor.. ,, OwIS'"gn Y%laat i. i , iaard have ten-n ,th trank'_. s'-r. tf;£dt re o mown of water Wed at the C 3,c LE Qum skcwn ccicectiv. CAA 41.., N, Tdic%a.0 JP S. VV/ , ,ar' not ms no a..tcibed Rom Ws mad of iv_if?vais: G['i ,xjr,,plitvd po 2i':c opyarac==y sCr:680fm.,µ l5 iildy 8nu(-OntfOi. _ en , r.<, R, ,... -i2 'r' l ..'-:._:' _ _ W._ ,...< [K O... J y k. ., .tYl 'JN i;17 t n <. a ., ,.. -"'rib r`.1 ._¢ t. ro Q^.d E'--:{, E l , .njndudhga ?-?. c 1 1°142 Water Tower Road, Lake Park FL 33403 South .East Customer Service: 561-844-9994 B NjMI H P I'n= 4 br v WGmZeTy 561-615-0011 1 305 P Concrete Tested ❑ Yes ❑ No LOT # - - Water Added at Customer's Cylinders Taken ❑ Yes ❑ No Re uest c gals. to full load Comments - gals. to 213,load gals. 4o 1/3load -r"II r-, 7 FA !r,;; , _, i L, - - Customers Rep'• Water Added NOT RESPONSIBLE FOR WARNING IRRITATION TO THE.SKIN AND EYES ADDITIONAL WATER ADDED'TO THIS VARIATION IN COLOR OR ment polymer or freshly mixed concrete may Cause skin injury. Avoid contacrwith - wash exposed skin areas promptly with water. If any Came nt powderor CONCRETE WILL REDUCE ITS STRENGTH SUi;FADE DISCOLORATION'and ture gets into eyes, rinse immediately and repeatedly with water and get prompt AND DURABILITY. ANY WATER ADDED IS L�n dical attention. Keep eMltlren away from cement powder antl, all',treshly mixed pT CUSTOMER'S OWN RISK. mentproducts. BATCH TIME Load To job On Job Begin Pour Begin Wash To Plant At Plant -71 PLANT TICKET# ORDER X TRUCK q LOAD SIZE MIX - - - SLUMP DATE i di'--? .,'},. it. �.4..1 ir.x rl �.., �V7, rr) .i]?Y."4; CUSTOMER X SOLDTO P.O: # PROJECT# a. in�'� ii�-d 7t�rr *11 Li. Llzt{{� �'iiJ}i a�i {. : .i;.l�•t;�y,. DELIVERY AdDflESS. ZONE,# USE DRIVER' z r 1 l•jirr r'n. °:.:_ j= !f.,Tr INSTRUCTIONS TIME DUE I! fit • •.. ••r r PRODUCT•rE PRODUCT DESCRIPTION• '• j.w "G .y=v a�l! _1d��t�iL.r I.i,l •: 1'.ri l.:y ,."LIIil tI r= r1,I 1 rrl, te;4T 47. iat --,; tr;• ,,{'"� � f it _.iiC-iu Flf"a .l �:I"r?'r . SIGNATURE OR RECEIPT-GONCR TE DAQKNOWL DGEMENT OF HAZARD WARNING -- asc meyer. on 9 nippy will not assume1155ility, for any property damage or any SUB -TOTAL equipment damag' lip in liveries beyond the curb line. TAX - AUTHORIZED BY SHIPMENT SU&IECT TOCONpITIONS 014ERSE SIDE. TOTAL KwhsANY rwidwWbap w0pievim, via reburvAncQ3f0I. 2. Won delOvary is mW beyara We cut One at le ail fomerc,* recluest,ac,., i)u,, riot !i,,rnlar iG, SIU(--Vi�kh, Urww�-y*.,, bt.Of irI qS, hess, Yimx)ery, mio Septic systerns, Inciud,rLi fieij .:,E, at 11 IL S. say WrPal, A iwu nOv" jV 6;qu9 rent by reasol, of sucf,� indowNy and save h3rnkrFS swu G:,tcpb, fort anyand F!l 4. Unite 111a an Y 0 CI 3.50UO '010L "A' WC10M 06001dM; QS! G0001c, ti 7. nn or. g-0 w de a w 0',Pffl rI,(,is, ar j Loch A V 'a pk n Nany damnsann, wne-im.mr? Angy -PRYnAw f-slViEp in :1 In"40"modup Parivei"Vou Way �, � -71 5 woe 0 A &U, mm W�� I i iam�u �I�'iU��iid,Ua11 �f6v d tl 1142 Water Tower Road, Lake Park FL 33403 Oftice: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 ❑ Yes ❑ No � Request I gal& to full load Comments gals. to 2/3 load gals. to 1/3 load Customer's Rep - Water.Added 4 NOT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL.;FER ADDED TO THIS VARIATION IN COLOR OR Cement polymer or freshly mixed concrete may cause skin Injury. Avoid contact with skin skin and wash exposed: skin areas promptly with water: If any cement powder or CONCRETE WILL REDUCE ITS STRENGTH ,'SURFACE DISCOLOR - 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 rt 4 -.14 ,, ] ,cement products., AT CUSTOMER'S OWN RISK. ne in Pour Begin Wash To Plant--F At Plant A, zlc�l 3� PLANT' TICKET# ORDER# TRUCK'# LOAD SIZE MIX_ SLUMP .PATE 1C4 248771 p7F3 41tiOt 10.lil a sCAft PSI REG HRWR / 7, tP!7� CUSTOMER# S_OLDTO P.O.# PROJECT# 1628 XGIJARE BUILDING ECILUTION BROTHERS DELIVERY ADDRESS - - ZONE# USE. DRIVER 606 I:IT ERt4AN I?D 5TLLJCIE 5L.A13S l,041 Rcuc,t.a IUCTIONS - - TIME DUE . -31_ PFI •.� •N • -•, •�PRODUCT • 10.&Zi 10.00 140.01 350P0551 3500 PST RFG yd 1.00 0.00 ENV I RO ENVIRONMENTAL- MEW) ea , 1.00 17J.00 r FUEL SURCHARGE ca tl SIGNATURE WARNING OR RECEIPTf CONCRETE ND"ACKNOWCEOGEMENT:OPHAZARD asc meyer once a ompany wl no assume. is I I y orany grope amage ar any detl4eries beyanA line. SUBTOTAL equipmentilama a forantl the curb TAX TOTAL r / 1 AUTHORIZED BY SHIPMENT SUBJECT TO CONDI I KJNSDN REVERSE SIDE. A I THIS DE FRY ISMADE SUBJECT TOTHE POLLt_.___IGCONDITIONS: ''usiriin:,r a pc.�'tr a mv;do a strvtable roadway for our trucks from the 'street pavement to the place of delivery of rmiteija' It su tI s :t al w ,dray a:a not provided, we reserve the, right to stop deliveries until conditions are remedied and, in such ub er t. C! .,i, r: v rl OL, held rr ` Pon5lbie for any;• loss caused thereby. t I ✓<rhE bey ono +he. ur :IinR fttie_cusf trier prcustorier representative's request, any damages irctuding but ;t u d t�, s �dr vq k�, driveways, t;Akhviys, rr s, Shrubliery, septic tanks and septic systems, mr-ludirig the arain geld, i:fie owr sr:> I'Isk. The strij per Frr, ee to r eirnburse said Company for loss of time and equipment by reason of such delivery, and also to iriderrci:y snd save ha mess said Conically from any and all claims, demands and suits for or on account of or in any ; - 'lla'?ner u�9d by -r aris,nq fr: pnvate driveway delivery. a, OIAMomr~! a K; joiviedges that all materiai and services shown have been received, that truck times shown are correct, a6, thattfie arnowv of rites addco at the customer's request Is shown correctly. CAUTION: The addition of water sedum none~,.^,^-troil afh and riura`riay $.. We arerriot resffossi ie for fr niki results obtained from this load of Concrete; many impbitantfactors afitect,ng fhb tiff t ' - gi.ia.l+y of tho, ccmpletcd job are bayond our scope of responsibility and control. It 8 A charge of Si.Oi? or" r minute will be cha•oed after l3 minutes per cubic yard unloading time is exceeded. nc cu ;t i ,rirer , tc (;vide, a suitable wash flmNn facility for ourtrucks and tools at the plane of delivery of m',t. i1a , e ou nr �c • hr.�, y �ja�rss , pay al; coats and expenses of collection, including a reasonable attorney s `ce, ,f nc st)nk fad to pay fnr the r�7i chandise r ;fleeted in this invoice, when due: Past due accounts are subject to a 1-1i20,o san•.ce rhargy� ^m the izbrs�aid r:a�t due hair,��c.e. The customer hereby acknowledges receipt of the cornpiete copy of +his contrar' , . I . •. .. 1142 Water Tower Road, Lake Park FL 33403 Office: 1-87744-9994 / Fax: 561-844-7102 7rVol, South East Florida Division Dispatch: 561-844-9994 / Central Florida Division Dispatch: 407-339-5311 'q•' 1, 1 _� ,iP'll•iil. 'll 'a� 'I � II It Conctete Tested El Yes ❑ No - LOT # - Water Added at Customer's Cylin[Iers'Taken ❑,Yes ❑No - - ' Request gals. to full load Comrf'ients 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 and wash exposed skin areas promptly with water. It any cement powder or CONCRETE WILL REDUCE ITS STRENGTH SURFACE DISCOLORATION mixture gets into eyes, nnso Immediately and repeatedly with water end got prompt med'Cal 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. - - Load I To Job On job Begin Pour Begin Wash To Plant At Plant 71 PLANT TICKET# ORDERA TRUCK# LOAD S2E MIX SLUMP DATE CUSTOMER'# .SOLD TO. P.O..M ' PROJECT# . ,.+'•r. • 'DELIVERY ADDRESS ZONE# USE DRIVER IUOTIONS - .,I TIME DUE •D CUMULATIVE ORDERE D i PRODUCT•.PRODUCT QUANTITY QUANTITY QUANTITY I S1, l SIflNATU WARNING _ E OR RECEIPT = CONCRETE AND ACKNOWLEDGEMENT OF HAZARD Mascirmover concrove Company win not assume IIaGIII1Y or Wry grope amigo or'any SUB -TOTAL equipment damage: for any deliveries beyond the curb line. TAX - AUTHORIZED BY SHIPMENT SUBJECT TO CONDITIONS ON REERSE SIDE. - TOTAL �... �II":�nnc lit��hnr�fngn�ltnnl (I�1 rrI IiJL�i,i4I 1442 W terJower Road, Lake Park FL 33403 OfU'eejt'-877-4i?:9994 / Fax: 561-844-7102 S EasYFlon a Division Dispatch: 561-844-9994 /Central Florida Division Dispatch: 407-339-5311 Corkrete Test' �t8l'es ❑No LOT # - Water'Added at Customer's CYliH e rekeP p1Yes ❑Nd j , ,� _ ,. ! % '�t��•h . r t - - ' .Request full loal !-gals. Comrlian s- to gals. to 2/3 loao :yf C; n _ gals. to 1l3 load gll4tt,�. ❑Pf7U Tllll,- Trfl lr'.K^17FA Customer's Rep - Water.Added - _.. _ NOT RESPONSIBLE. FOR WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL WATER.. ADDED TO THIS VARIATION IN COLOR OR SURFACEDISCOLORATIONskin Cement polymer or freshly mixed Concrete may cause skin injury. Avoid contact with and wash exposed skin areas promptly with water. If any cement powder or CONCRETE^WILL REDUCE ITS STRENGTH mlxlure gets. into eyes, 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 CUSTOMER'S OWN RISK. BATCH TIME 4 a 333' To Plant At Plant `TRUCK#'LOADSIZE PLANT '.1 'TICKET# ORDER'# 'MI% 1 SLUMP DATE 104+.' �43771 apt :F9 +0.0 3-930 PSI REG �P,W� 7_0Q1 10/�_3/1a CUSTOMFJ}t# 168A' SOLDTO "' MIUARE-SUILDLIG SOLUTION P.O:# BROTHERS PROJECT# +` 900933 . DELIVERY ADDRESS ZONE# USE DRIVER 605 RIT't'ERNAN RD ST'LUCIE SLABS Manuel Alvarez JCTIONS - - - - - - TIME DUE L. �Ij .5 a 18 AM ... ••. . •. •. •. DESCRIPTION U.O.M.• • . 10. 00 30.00 140.,01 �50212551 3 500 PSI REG yd 1. 00 --,.0. 00 'ENV I RO ENV I ROMMENTAL DI. PO ea 1', 00, t 0.00 2 FUEL SURCHARGE ea r SIGNATUR-ORRECEIPT -CONCRETE AND ACKNOWLEDGEMENT OF HAZARD WARNING - asc meyer Concrete Company will not assumeliability for any property damage or any SUB -TOTAL equl ment damage far any deliveries beyond the curb line. ' TAX - AUTHORIZED BY SHIPMENT SUBJECT TO CONDITIONS ON. REVERSE SIDE. ,. . TOTAL •- r� 5 oc RV i!; !1 ADF SUBJECT TO THE FOLLC Cx CONDITIONS: ^,r ;; snridc a 1V,ble roadway for our tricks from the street pavement to the place dfde!ivery ofinate, la'( a., y s an no prodded v,e reserve the right to stop deliveries until conditions are remedied and, in such I' 1� r '.ai. b hew lcG; ,)nr, olo for any loss caused thereby. -:e my riaric, t o n hF curb line at the customer or customer -representative's request, any damages incrudutrj', n nrt, to U.t n?'k3, nna ways, buildings, trees, shrubbery, septic tanks and septic systems, including it e dia, r nr?6, zir,, at .he owner', risk. l custnrrer to l arr,burse said Company for !oss of time and equipment by reason of such delivery, and also's; ..le-"rinnity 'art save harmless said Company from any and all claims, demands and suits for or on account or or to any_ cat*ed by :.,rarising from private driveway delivery. I, :;ustolner acknov-tstlges that all material and services shown have been received, that truck times shown are correct, d atthe amount of water added at th€ customer's request is shown correctly. CAUTION: The addition of water rcauc.!il, rrefe, strength and j.ea i4iy W. e arP-rtot resp'msibfe for tinishnd results obtained from this load of concrete, many irnpoltl-117adtdfs affecting tale u lyntate quar,iy of the cornpfeted job, are beyond our scope of responsibility and control„ , I minute will be charged after 8 minutes per cubic yard unloading time is exceeded. +• l F 1 h: a-,s°urner agrees tr, provide a suitable wash down facility to; our trucks and tools at the place of delivery of m,iter;al. 7 hL, c::stomer hereby agrees tc cay all costs and expenses of collection, including a reasonable attorneys fee, if Ire ehal' l; to pa, for the merchandise Porte-; in this invoice, when due. Past due accounts a.rd subject to a 1-1 12 service :try.}a ur ± .. ur.pa.d past due .:vice. The customer hereby acknowledges receipt of the compleie copy of th,s contmc' G- �t 1L Ffi 1142 Water Tower Road, Lake Park FL 33403 i Office:1-877-484t9994 / Fax:561-844-7102 SouthEast Florida Division Dispatch: 561-844-9994 / Central Florida Division Dispatch: 407-339-5311. L .e!�`iill�ll��!l�ll"I1I�1�II��I1��''lll ' I J 04679 Concrete Tested ❑Yes ❑No LOT # Taken No — Water Added -at Customer's Request Cylinders ❑Yes ❑ ! ,'� ;_ Comments, gals. to full load gals. to 213 load gals. to 1/3 load Customer's Rep -. Water Added n_ pr I;-. rtl Im Tpi ir-i/ • f p.m ar rl 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 .km and wash exposed skin areas promptly with water. If any cement powder or CONCRETE WILL REDUCE ITS STRENGTH .SURFACEDISOOLORATION 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. cement products. BATCH TIME 1 4.51 To Job On Job I Beg' Pciur To Plant At Plant PLANT TICKET# I ORDER # JTRUCK# I LOAD SIZE MIX - SLUMP DATE 104 ;Ir437716 98 1 1271 10.0 _ 3500 PSI REG HRWR 7.L0 10/23 8 ,r CUSTOMER# ", SOLDTO P.O.# PROJECT# 1688 I XDUARE BUILDING SOLUTION BROTHERS SII?I=_-31 DELIVERY ADDRESS ZONE# USE DRIVER 605 KITTERNAN RD 1 STLUCIE SLABS Leon I,!rioln'e LOTIONS - TIME DUE iL •r •'r • .•� •r ••r r • • • 10.00 40.00 140.01 35Cit20551 3500 PSI REO yd 1.00 ! 0.00 ENVIRO ENVIRONMENYAI_ DISPO ca , 1.00 0.00 2 rUEL SURCHAEGE oa SIGNAT11RE OR RECEIPT- CONCRETE AND ACKNOWLEDGEMENT OF HAZARD WARNING asc meyer Concrete Company will not assumeliability for any property damage or any SUB -TOTAL .quipmenj dafmage or any deliveries beyond the curb line. , TAX AUTHORIZED BY ' SHIPMENT SUBJECT TO -CONDITIONS ON REVERSE SIDE. TOTAL. ' 10 3 4 THIS DE !RV IS MADE SUBJECT TO THE FOLLC IG CONDITIONS: •I Customer agrees to provide a suitable roadway for our trucks from the street pavement to the place of delivery of materiaC If such suitable roadways are not provided, we reserve the right to stop deliveries until conditions are remedied and, in such event, customer will be held responsible for any loss caused thereby. l When delivery is made beyond the curb line at the customer or customer representative's request, any damages includind bat not limited to, sidewalks, driveways, buildings, trees, shrubbery, septic tanks and septic systems, including the drail� field. are at the owners risk. 2 The customer agrees to reimburse said Company for loss of time and equipment by reason of such delivery, and also t' indemnify and save harmless said Company from any and all claims, demands and suits for or on account of or in any I'.. manner caused by or arising from private driveway delivery. Customeracknowledges that all material and services shown have been received, that truck times shown are cornict, andl that the amount of water added at the customer's request is shown correctly. CAUTION: The addition of water reduces I concrete strength and durability. dve are not responsible for f!nished results obtained from this toad of concrete;, m9ny important factors affecting the`zlatimate quality of the completed job are beyond our scope of responsibility and control. i A ch„ rge of $1.00 per minute will be charged after 8 minutes per cubic yard unloading time is exceeded. ncc customer agrees to provide a suitable wash down facility for our trucks and tools at the place of delivery of material. ,11 _ customer ha, by agrees to pay all costs and expenses of collection, including a reasonable attorney's fee, if he shall 1,10 to pay . o chi+,a on U .nandise re, ected in this invoice, when due. Past due accounts are subject to a 1-1/2 /r service east due balance. The customer hereby acknowledges receipt of the complete copy of this contract 41 -1: A;.-... . ib Water Tower Road, Lake Park FL 33403 -877-48419§94 / Tax: 561-844-7102 ast Florida.Division Dispatch:561-844-9994 / Central Florida Division Dispatch: 407-339-5311 n �I � � li i l l Ii!I Concrete Tested ❑ Yes ❑ No LOT # Watep Added at Customer's Cylinders Taken ❑ Yes ❑ No Request 4 - gals. to full load CBtmmanls. gals. to 2/3 load _ gals. to 1/3 load - Customers Rep - Water Added 34 ?t 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 of £SURFACE CONCRETE WILL REDUCE ITS STRENGTH DISCOLORATION ,- mixture gets into eyea. nnse immediately and. repeatedly witfi water and get prompt medical attention. Keep children away from cement powder and all freshly mixed AND DURABILITY.. ANY WATER ADDED IS - BATCH TIM �+ EE Ts , L1.s� `��y fl� Q;�� cement products. AT CUSTOMER'S OWN RISK. 9. To Job On Job Beigrn Pour PLAM' TICKET# ORDER# TRUCK LOAD SIZE MIX SLUMP DATE 1 a 088858 `JS 31 iL1, 1 u CC) F;,i !2['G HPWR 7 ' =..;/1P CUSTOMER# SCIOTO P.O.# PROJECT# fC.aa XPL,^aL= liVSI-DING SOLUJ 10;v DI<orhttil, , r".?ds'iJ DELIVERY ADDRESS ZONE# USE DRIVER Eu15 FCI7TEFtM�1i [{D i SfLLIL:]L i'L.F11iS ravov �'1Jrte IUCTIONS. TIME DUE,. 13L J I a ORDERED PRODUCT CODE PRODUCT DESCRIPTION U.O.M. UNIT PRICE AMOUNT QUANTITY I 00 50. 00 1 ; u. 01 ;"-' _i1l„�5:1 3' -1 P31 Rt-10 VCl 1. 00 u. 1p21 14V I F<L3 EN L Rf 1dP-il !V i C-al_ D T S 'CJ T 1.00 I 1, , ,jf(}t . 11GNATLRE WARNING OR RECEIPT- CONCRETE AND.ACKNOWLEDGEMENT OF HAZARD esc meyer Cnerete Company will not assume lHibility forany property damage or any SUB -TOTAL equipment damage for any deliveries beyond the curb line. t TAX AUTHORIZED BY SHIPMENT SUBJECT TO CONDITIONS ON REVERSE,SIDE. TOTAL _ THIS DE RY IS MADE SUBJECT TO THE FOLLC G CONDITIONS: 1. Customer agrees to ovide a suitable roadway for our trucks from the street pavement to the n g provide y p place of delivery of mateny�. If such suitable roadways are not provided, we reserve the right to stop deliveries until condifions a. e remedied and, in such event, customer will be held responsible for any loss caused thereby. 2. Vghen delivery is made beyond the curb line at the customer or customer representative's request, any damages including, but not limited to, sidewalks, driveways, buildings. trees.. shrubbery, septic tanks and septic systems. including the drain field, are at the owner's risk. 3. The customer agrees to reimburse said Company for loss of time and equipment by reason of such delivery, and also to indemnify,and save harmless said Company from any and all claims, demands and suits for or or, account of or in any manner caused by or arising from private driveway delivery. I; 4. Customer acknowledges that all material and services shown have been received, that truck tinges seo.,n are correct andL .'tat the amount of water added at the customer's request is shown correctly. CAUTION: The addition of water reduces w concrete strength and durability F?� S.' We are r5ot responsible for finished results obtained from this load of concrete; many important factors affecting the ultimate {{'= gbality,"f the completed job are beyond our scope of responsibility and control. 4; 6. A charge of $1,00 per minute wit! be charged after 8 minutes per cubicyard unioadiog time is exceeded 7. The customer agrees to provide a suitable wash down facility for our trucks and tools at the place of delivery of material. ti 8. 'The customer hereby agrees to pay all costs and expenses of collection. including a reasonable aftornoy s fee, if he shait I' faiLtc pay for the mars andise reflected in this invoice, when due: Past due 3-CQUMS a.re suhject to a 1- f r2%service charge on the unpaid past due balance. The customer hereby acknowledges receipt 9f file camplet.- Xpy of this contract. e -a. Sj, $i Si 11 42,Water Tower Road Lake Park FL 33403 Office:11877-484-9994 / Fax: 56j-844-7102 " outhEa"stFloridaDivision Dispatch: .561-844-9994 / Central.FloridaDivision Dispatch:407-339-5311 .. O'pricret� Tested ❑ Yes (I No A '. LOT # 'Water Added at Customer's Cylinders Taken,,, ❑ Yes. ❑r No \,� _r jRequest $ .t1 , t ,- Comments ` gals. to full`IDaj - gals. to 213 load �- to 1/3 load 0.✓ sJ •`� y, ✓ Y ._gals. Customer's Rep -Water Added V 1ul4b l ! NOTJ'RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL WATER ADDED TO THIS VARIATION IN COLOR OR, Cement polymer or freshly mined concrete may cause skin Injury. Avoid contact skin antl wash exposed skin areas promptly with water. If any cement powder or CONCRETE WILL. REDUCE ITS STRENGTH SURFACE DISCOLORATION mixture gets into eyes, nose 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 TIM -4;CT 23 ptt `.��' 'cement products.AT CUSTOMER'S OWN RISK. 1 .. PLANt (TICKET# ' ORDER# TRUCK# LOAD SIZE MIX SLUMP DATE 1Qf:i_ 4SOLD J 1 CIOt; 1 it i 1-f"l CUSTOMER:q TO P.O.# PROJECT# 1613r nL•.u, ll< _ :' I t+ .iJ._:{ 1 _ (_ P.ltl l f i d_I-: DELIVERY ADDRESS- ZONE# -- USE. DRIVER 605 KITTEri ',.1' ;rCJ' ,;' .:r.tl- SI_i-I05 UCTIONS - TIMEDUE _ Ell_ PRODUCT DESCRIPTION I.I.O.M. UNIT PRICE: AMOUNT • • -0 41Y.; l�'.., �, L.1 -., _ - J_ J.._ll Yl.It I,.-�,/ YQ lbt�V'f�, �In�_ C1., �\� _I !, '-\\ , Ii �i•'ti. L)e')'L� ._l' •4 f ' SIGNATUR WARNING 1 OR.RECEIPT - CONCRETE AND ACKNOWLEDGEMENT OF HAZARD .: - asc meyer concrete company will not assume liability for any prope y- amage or eny SUB -TOTAL f - equipment damage'forany detiverles beyond the curb line. V1)-- TAX TOTAL 1 t - - lF '- AUTHORIZED BY SHIPMENT SUBJECT TOfCONDITIONSON,REVERSE SID&- THIS CF :RY IS MAOE OUBJECT TO THE' FOLL( IG CG:'NDPAOVIS 1. Cdstomnr ogrr55 to p t': c'a s-Oib z rC76st/a, M l ow v CCk,& fl Ow OneStrc-tpatom p ic:,_,,r "Zi 1 dUCh ii4 LaU1�• .0 1E1 A .y °. ?R' r l DH.dt'n vdF 'e5erve the. rlgFit :O stop dEilt ei &,; Ili t;-CIF I ' - 8'rent.fit. tSinC,lai;; 7P Fia-'e 6nLlpie for ar,y Ioss c, Lused tneredy/ teiivorjlS,n ode^F, ".n.'"ipF+L i'G linE 'nP::i,>fom@'OI:'Cl't71T?f ferlF Fnt 3[IJC s rerjt,O,-,t'^ # .ot to do ea _:vs. r i'rlinp5. flees, shr4bbery.:?epr„ [,.I k5 and n qd 0- wr2 , tPe c,vme, a r>x. ...� S � ., dr••Ir r:c GJ'Si.� T ogree s to ,errnb4 S c s, Cn!r- ,.ir v `C i logs s': { (? -iG'a wU4iprl e .l by ,+sT _ t t,l.: r. " 1, Aci nnirV and 5:1Vf= nR'm'-. l f op j 1!"Q."l any unci all E an I-, Jr rf vi w, , iln::l I , ;1i iF _ 1' �i. Cuc t.ack-rriowlduPS tla F ! Material al Cl services ' )u®in haVo h q k G t t iJ`-'.4 ila , J.. r'. C s zl cr-, ..r v That thoamoun- vater aridedFf riz; GLatc-re'sreOL:eSt:S6t N CCr lly r.iti 7 11v1 u Chi r(a9 .r i cr yin Ci �.� ��I ,aui'.'tr r 5. 01,p are not responsible for finished results obtained from 'this load of concrete, n a{ y ins ur ant `-JMu that, r�,_ i. {'LlWitV of thin Cnfrpl tOd icb a°e, beyond our SC0,7e OI resoon Sthil 5,.+.3nd h A r'narg(.- oi $1.01) pc, minute b,� char bci : fter R minuses pe.l ciibic yalt {rkr.d,r , 1 hE445'ot:-l9r aQrei_ tC 3Toi)1f VhSt, rIi.IVl if L]CkL Old I I T; v. The cosiorief io-.,ehy awes tit 1 l ind eXO n a,; Cf rn n M-C11, Il id ;irJ 3 t � .'I f ttO for In, 'T8rt a noTs, rGfleC tCd Ill ` :5 l��tlOi.e Wfl^n d4C. PaSt OUO au.CI-:nts , _, n;S',.. chaarpe ORth194nua d ba S[("U9a IF: t T _. Customer f c,'eb•y' P^knoMedgo rP'(;^:;: _. -:' I r y� '4 ir• M * '4 .uc- •7y3' i�i,.�i3 a�'�.'YT.':i .�5` n. _ d 1142 Water Tower Road, Lake Park FL 33403 Office:0-877-484-9994 / Fax:561-844-7102 South Mast Florida Division Dispatch: 561-844-9994 / Central Florida Division Dispatch: 407-339-5311 _I :... I. , r .-_. CondeteTested ❑Yes ElNo LOT# WaterAdded.atCustomer's Cylin ers Taken ❑ Yes, © No flequest, y' gals. to full load Comments f. ,- gals. to 2/3 load / to 1/3 load ` yi t1 (I: l J it Y gals. Customer's Rep - Water Added - NOTRESPONSIBLE FOR -ii 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 injury. Avoid contact with and wash exposed skin areas promptly with water. If any cement powder or 'eyes, CONCRETE WILL REDUCE ITS STRENGTH' ,skin miMure gets into 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 In Vt,T 23 05;_ t cement products. AT CUSTOMER'S OWN. RISK. to Plant t At Plant PLANT TICKET# ORDER# TRUCK# LOAD SIZE z MIX - SLUMP DATE . 03 .188 I _ , r. I =i_ •I , /, i I_ i � ; / t i 'CUSTOMER # I SOLDTO P.O. # PROJECT# 1688',S „ : ?!,k .:'JSL.')Lid.: :n.__U " _:`a YZONE# 'DELIVERY ADDRESS USE DRIVER " 605 KITTERh;f;I`•: I ICTIONS TIMEDUE iL - 1111111111111111119YAP PRODUCT DESCRIPTION U.O.M. UNIT PRICE AMOUNT I �� E f RECEIPT- CONCRETE AND ACKNOWLEDGEMENT OF HAZARD SIGNATUREOR WARNING asc meyer Concrete ompany wl nD assume ra r r or any property damage or any SUS -TOTAL ' equipment damage for any deliveries beyond the curb line. TAX . AUTHORRED BY SHIPMENT SUBJECT TO CONDITIONS ON REVERSE SIDE. TOTAL de THIS D1 ERY IS MADE SUBJECT TO THE FOLD 4G CONDITIONS: I, 1. Customer agrees to provide a suitable roadway for our trucks from the street pavement to the place of delivery of material. If such suitable roadways are not provided, we reserve the right to stop deliveries until conditions are remedied and, in such event customer will be held responsible for any loss caused thereby. ,, I 2. When delivery is made beyond the curb line at the customer or customer representative's request, any damages iriciudirl , but not limited to, sidewalks, driveways, buildings, trees, shrubbery, septic tanks and septic systems, including the drpin field, are at the owner's risk. r 3. The customer agrees to reimburse said Company for loss of time and equipment by reason of such delivery, and also t< indemnify and save harmless said Company from any and all claims, demands and suits for or on account of or in 4ny manner caused by or arising from private driveway delivery. 4. Customer acknowledges that all material and services shown have been received, that truck times shown are correcy,ard� . that the amount of water added at the customer's request is shown correctly. CAUTION: The addition of water reduces. I, concrete strength and durability. 5. We are not responsible forfinished results obtained'from this lead of concrete; mai'iy important factors affecting the ultmdte� quality of the completed job are beyond our scope of responsibility and control. 6. A charge of $1.00 per minute will be charged after 8 minutes percubic yard unloading time is exceeoed 7. Thecustomer agrees to provide a suitable wash down facility for ourtrucks and tools at the place of delivery of material. `r j; 8. The customer hereby agrees to pay all costs and expenses of collection, including a reasonable attorney's tee, it he shall fail to pay for the merchandise reflected in this invoice, when due: Past due accounts are subjectto a 1-1/2% service charge on the unpaid past due balance. The customer hereby acknowledges receipt of the complete copy of this contra-, li 1142 Water Tower Road, Lake Park FL 33403 Office: 1-877.484-9994 / Fax:561-844-7102 South East i0rida Division Dispatch: 56,7.-844-9994 / Central Florida Division Dispatch: 407-339-5311 i�54 Concrete Tested ❑ Yes', -�NI� .LOT# Water Added at Customer's Cylinders l;` 6n ❑ Yes �Na Request,-` , �CAi � gals. to full load -Comments gals. to 213 load r�gals._ to W load X Customer's Rep - Water Added :a< rKtV lUL15 I KULI'l: 3bJ 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 eWn 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 witMwater 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. `� p 4 R;1 rj; cement products. egin Pour Begin Wash To Plant �jJ / S S , � q `.•4. rr ;lam/ 'PLANT TgKKEET# ORDER #' TRUCK # LOAD SIZE MIX SLUMP DATE 103. �E}88E'1. 98 79 10 Ct 3SC'IZ+ r'a? RLG FIR 7.L,tt ;LTfc'':;%1B CUSTOMER# ?y SOLDTO - P.O.# PROJECT# - 1,688:1 XCUA14E BU1LIDINO SP_iUT"UN BR0ri'„_! DELIVERY ADDRESS ZONE# USE DRIVER ` B2+5 KITTERMAN RA MI-iiCIE, SLCB i RuJalril-I rIrIoncila;. JCTIONS - - ,} TIME DUE SL c, 1.3 Arl PRODUCT CODE PRODUCT DESCRIPTION U.O.M. . . 10.00 l 80. 1710 140. L711 � C_'U iS1 &SC21 �-'SI R L' yd 1.00 0.00 E:IdVI RG r-NIj IiUi\h1c,tJ"iA1. llI5:,U u 1.00 0.00 rU-L- UnL'H 1:2L,E e.` I SIGNATURE OR RECEIPT - CONCRETE AND ACKNOWLEDGEMENT OF HAZARD WARNING asc meyer Cp9creto Company will not assume liability for any property damage or any SUB -TOTAL - equi/pment 5rlr ge for ny deliveries beyond a curb, line. C•/�- T AX �cAUTHORRED aY SHIPMENT SUBJ CT O CONDITIONS ON -REVERSE SIDE. TOTAL THIS DE iRY IS MADE SUBJECT TO THE FOLLC !G CONDITIONS: {r 1. Customeragrees to provide a suitable roadway for our trucks from the street pavement to the place of delivery of material, If such suitable roadways are hot provided, we reserve the right to stop deliveries until conditions are remedied and, in suc} event, customer will be held responsible for any loss caused thereby �l Ilr 2. When delivery is made beyond the curb tine at the customer or customer representative's request, any damages indludingl; but not limited to, sidewalks, driveways, buildings, trees, shrubbery, septic tanks and septic systems; including the drain 11 field, are at the owner's risk. L 3. The customer agrees to reimburse said Company for loss of time and equipment by reason of such delivery, and also to indemnity and save harmless said Company from any and all claims, demands and suits for oron account of or in any I, manner caused by or arising from private driveway delivery. 4. Customer acknowledges that all material and services shown have been received, that truck times shown are correct. and that the amount of water added at the customers request is shown correctly. CAUTION! The addition of crater reduces concrete strength and durability, 5. we are not responsible for finished results obtained from this load of concrete; many importantfuctors affecting theItfniate I uality of the completed job are beyond our scope of responsibility and control. 6. A charge of $1.00 per minute will be charged after 8 minutes per cubic yard unloading time is exceeded. 7.. The customer agrees to provide suitable. wash down facility for our trucks and tools at the place of delivery of material. 8.. The customer hereby pgrees to pay all costs and expenses of collection, including a reasonable attorney's tee, if he shall fail to pay for the merchandise reflected in this invoice, when due: Past due accounts are sublectto a 1-112% service charge on the unpaid past due balance. The customer hereby acknowledges receipt of the complete copy of this contract '� i 1 1142 Water Tower Road, Lake Park FL 33403' Office: 1=877 484-9994 / Fax:561-844-7102 k South East F( ride Division Dispatch: 561-844-9994 / Central Florida Division Dispatch: 407-339-5311 tv 5 5 Concrete Tested ❑ Yes' ❑ No LOT # Water Added at Customer's Cylinders ken '❑ Yes,, ❑ No Request , gals. to full load Comments -gals. to 2/31Cad gals. to 1/3 load Customer's Rep - Water Added 2 H 111:_1V 1UU6 II[ L.KCl/J A NOT RESPONSIBLE FOR VARIATION IN COLOR OR WARNING IRRITATION TO THE SKIN AND EYES Cement polymer orfreshty mixed concrete may cause skin injury. Avoid contact with ADDITIONAL. WATER ADDED TO THIS SURFAC4 DISCOLORATION skin and wash exposed skin areas promptly with water.. If any cement powder or CONCRETE WILL REDUCE ITS STRENGTH mixture gets into eyes, nnse immediately. andrepeatedly 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 CUSTOMER'S OWN RISK. BATCH TIM 23 �y°;,`(yll �J�Q }' S _ PLANT TICKET# ORDERS TRUCK # AD SIZE MI% _ SLUMP DATE 1;03 . +$8$862 98 S' 72 10.0 3500 PSI REG HRWR 7.00 10/23/18 CUSTOMER # DTO ` P.O. # PROJECT# 16ae;{ XQUARE BUILDING SOLUTION BROTHERS 900930 DELIVERY ADDRESS ZONES USE on 605 KITTERMAN RD STLUCIE SLABS I - ,John Irlcaa ICTIONS TIME DUE 4L 6,22 art 10.00 90.1210 .140.01 35020 551 3500 P61 REG yd 1.00 0.00 ENVIRO ENVIRONMENTAL DISDO ea 1.00 0.00 2 FUEL SURCHARGE, ea { SIGNAT WARNING ' TI OR ECEI T-CONF,4iETE AND ACKNOWLEDGEMENT OFHAZARD MaSCII3118yeT oncrete company will not assume liability for any properly damage or any SUB -TOTAL equipment damage for any deliveries beyond the curb line. • TAX ( AUTHORED BY JraYMCIVI JUmJ uI I V VVIMVI I IVIVJ VIV 11CVC1'1JC JIVC. rVNML THIS DE MY IS MADE SUBJECT TO THE FOLLI dG CONDITIONS: L i 1. Customer agrees to provide a suitable roadway for our trucks from the street pavement to the place of delivery of material. If such suitable roadways are not provided, we reserve the right to stop deliveries until conditions are emedied and, in sue r event, customer will be held responsible for any loss caused thereby. r 2. When delivery is made beyond the curb line at the customer or customer representative's request, any damages inauding', but not limited to, sidewalks, driveways, buildings, trees, shrubbery, septic tanks and septic systems, including the drain field, are at the owner's risk. _ - i 3. The customer agrees to reimburse said Company for loss of time and equipment by reason of such delivery, and also to indemnify and save harmless said Company from any and all claims, demands and suits for or on account of or in any manner caused by or arising from private driveway delivery. _ 11 4. Customer acknowledges that all material and services shown have been received, that truck times shown are corract, and that the amount of water added at the customer's request is shown correctly. CAUTIOM The;'add tion of water reduces concrete strength and durability. 5. We are not responsible for finished results obtained -from this load of cbr,:fflte; many importariNctars affecting -the tltimate quality of the completed job are beyond our scope of responsibility and controk i 6. A charge of $1.00 per minute will be charged after 8 minutes per cubic yard unloading time is exceeded. I7 7. The customer agrees to provide a suitable wash down facility for our trucks and tools at the place of delivery of material. :I 8. The customer hereby agrees to pay all costs and expenses of collection, including a reasonable attorney's fee, if he shall fail to pay for the merchandise reflected in this invoice, when due: Past due accounts are subject to a 1-1 /2% service charge on the unpaid past due balance. The customer hereby acknowledges receipt of the complete copy of this contras 10 • r. AWW 1142 Water Tower Road, Lake Park FL 33403 Off ice: 1'877-484-9994 / Fax:561-844-7102 South East Florida Divis Qh Dispatch: 561-844-9994 / Central Florida Division Dispatch: 407-339-5311 Concrete Tested ❑ Yes ❑ No LOT # �^ Cylinde}aTaken ❑Yes. ❑No - g Comments 3 rJQr7I;Tnl im TQi lrl-r i7'7 Customer's Rep - Water Addle NOTiRESPONSIBLE FCR _ WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL WATER ADDED TO THIS VARIATION IN COLOR OR SURFACE DISCOLORATION Cement polymer or freshly mixed canerete 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 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 cement products. AND DURABILITY. ANY WATER ADDED IS ; AT CUSTOMER'S OWN RISK. BATCH TIME, 5; 49' To Job Un Job Begin-Pou, To Plant Job At Plant —TO PLANT 'TICKET# ORDER# TRUCK# LOAD SIZE Mrx �� SLUMP r ATE 10:y ?. .-It37717 9 S', [t1+ti1 10. k� 3S00 PSI REG HRWR 7.00 10/23/18 CUSTOMER 1688 _ SOLDTO XGJUA.RE BUILDING SOLUTION P.O.# BROTHERS PROJECT# 9O�'330 DELIVERY ADDRESS. I ZONE# USE - DRIVER 605 KITTER14AN RD; STLUCIE SLABS Leo Acosta JOTIONS - - TIME DUEAM '••rlium •.r -•r •rPRODUCT DESCRIPTION • • 10.00 100.00 140.01 35020551 3500 PSI REG cl 1.00 0.00 ENVIRO ENVIRONMENTAL. DIEPO a 1.00 0.00 a FUEL SURCHARGE ea 't SIGNATURE OR RECEIPT- CONCRETE AND ACKNOWLEDGEMENT OF HAZARD WARNING asc meyer Concrete Company willnot assumeliability or any property damage or any SUBTOTAL equipment damage for any deliveries beyond the curb line. TAX AUTHORIZED BY ' SHIPMENT SUBJECT TO CONDITIONS ONAEVERSE SIDE. - TOTAL HIS DE RV IS MADE SUBJECT TO THE FOLLC IG CONDITIONS rcustome agreesto provide a suitable roadway for our trucks from the street pavement to the place of delivery of material. aofbieroadways are not prov-ded, we reserve the right to stop deliveries until conditions are remedied and, in sryychchr will be held responsible for any loss caused thereby. h 'Wnon deliveryis made beyond the curb line at the customer or customer representative's request, any damages includifig;' cup not limited to, sidewalks, driveways, buildings, trees, shrubbery, septic tanks and septic systems, including the drain; f,cld,'are at the owner's risk. I r i, 3 Tne customer agrees to reimburse said Company for loss of time and equipment by reason of such delivery, and also to indemnify and save harmless said Company from any and all claims, demands and suits for or on account of or rn any manner caused by or arising from private driveway delivery. a h. Customer acknowledges that all material and services shown have been received, that truck times shown are correct and :hat the amount of water added at the customer's request is shown correctly. CAUTION: The addition of water reduces concrete'strcngYn and durability k ' 5 We are no' responsible for finished results obtained from thisloaci of concrete: many importantfaottirs affecting the ulttstate '• qual,ty of the completed job are beyond our scope of responsibility and control. o A charge of $1.00 per minute will be charged after 8 minutes per cubic yard unloading time is exceeded. T^c customer agrees to provide a suitable wash down facility for our trucks and tools at the place of delivery of mate; iat. T i customer hereby agrees to pay all costs and expenses of collection, including a reasonable attorney s fee, if he s'natt '.a;' to pay for the merchandise reflected in this invoice, when due: Past due accounts are subject to a 1-1.'2% semlce o farce on the ::npaid oast due balance. The customer hereby acknowledges receipt of the complete copy of this coniracl i 4 w 11421�Vater Tower. Road; Lake Park FL 33403 Office:1 77-484-9994�1 Fax:501 844-7102 South Ea„f Florida Division Dispatch: 561-844-9994 / Central Florida Division Dispatch: 407-339-5311 Concrete, Tested ❑ Yes ❑ No LOT # WateCAdded at Customer's Cylinde?s Taken; 0 Yes ❑ No Request Commel ' .gals. to full load' to 2/3 load .,gals. gals. tot/3load Customer's Rep - Water Added a Y'.r [r cu: fnlIC; TRIlrW-AlrA NOT( RESPONSIBLE FOR VAR( TION IN COLOR OR WARNING • IRRITATION TO THE SKIN AND EYES ADDITIONAL WATER ADDED TO THIS Cement polymeror freshly mined concrete may muse skin injury. Avoid contact with SURF,�CE. DISCOLORATION skin and wash exposed skin areas promptly with water. If any cement. powder or CONCRETE WILL REDUCE ITS STRENGTH mixture gets into eyes, rinse immediately and repeatedly with water and get' prompt AND DURABILITY. ANY WATER ADDED IS medical attention. Keep children away from cement _powder and all. freshly mixed AT CUSTOMER'S OWN RISK. cement products: ' BATCHTIMEJ 5 ; 5'� ; L To J,b On Job Dad Begin Pour Begin Wash G 612 PLANT ;TICKET# ORDER # TRUCK # LOAD SIZE mix ` SLUMP DATE 104 �, 2437718 98 170 10.0 1 3500 PSI REG HRWR, 7.00 10/23/18 CUSTOMER —` SOLDTO P.O.# PROJECT# - 1688, 4-XQUARE BUILDING SOLUTION BROTHERS 900930 DELIVERY ADDRESS ZONE# USE DRIVER ' 605 KITTERMAN RD' STLUCIE SLABS Jason Rh$he5 ---UCTIONS - - - .- TIME DUE • • 10.00 110.00 140.01 35020551 3500 PSI REG yd 1.00 0.00 ENVIRO ENVIRONMENTAL_ DI_PO ea 1.00 0< 00 2 FUEL SURCHARGE ea SIGNATURE RIVING OR RECEIRT `]DDNCRV9AN0 AC' N Q VILEDGEMENT OF RAZARQ.W aec meyer oncr a gwany willno assume r I I ar any prop damage or any -equipment d `nage far any deliveries beyond thq`ICurb Ilne. SUB -TOTAL 1 V U AUTHORIZED BY , SHIPMENT SUBJECT TO CONDITIONS ON REVERSE SIDE. TOTAL ' THIS DE RY IS MADE SUBJECT TO THE FOLLC G CONDITIONS: Customer agrees to provide a suitable roadway for our trucks from the street pavement to the place of delivery of material. `suer s,.dab!e roadwaya are rot provided, we reserve the right to stop deliveries until conditions are remedied and, it suc}? e,c, �t cu�;:omerwill be held respons ble for any loss caused thereby. i `l',,o^ dcLvcry is made beyond tiie curb line at the customer or customer representative's request, any damages no L 51om nu: net ir,rled to. sidewalks, driveways, buildings, trees, shrubbery, septic tanks and septic systems, including the dram' 'field, are at the owner's r:sk. _ _ r T-c. customer agrees to reimburse said Company for loss of time and equipment by reason of such delivery, and also to :ndern ily ano save harmless said Company from any and all claims, demands and suits #or or on account of or to .uny ,na rrer caused by or arising from private driveway delivery. _ C _Is`omcr acknowledges that all material and services shown have been received, that truck times shown are correcfr and that the amount of *water added at the customer's request is shown correctly. CAUTION: The addition of waterredt=s3s I, ro^Crete strength and durability We are not responsible for finished results obtained from this load of concrete; matey important factor's affecting the ult5 ate .` or the completed job are beyond our scope of responsibility and control. a r : rf $1.00 per rnirute w'L be charged after S minutes per cubic yard unloading time is exceeded agroes tc p o:!ce a bu,table wash down lacillty, for our trucks and tools at the place of delivery of ro% na! r. A.li cnSt$ 3r:d ekperse$ Of Cbllectlon, Including a reasonable attorneys feC. 'r'ls ,. -Z, rt;r`hJ morcn, nu-s- ri;4'6cter1 m this invoice. ':Then due: past due accounts are subject to a 1-112°. ,,s urpu,d , a t d'_ L u„ ance. The customer hereby acknowledges receipt of the Complete copy of tl,'a ro^.?acl r., a . i , . • .. • - i Ilo6d�J1f � �il. � �I�1 �� 12 ��t tl� �I1I�Ul I- •` •I C 99a9 :7777/7 .7777�tD14s8L: • 11,42 Walter ToweToad, Lake Park FL 33403 DffIce.1 87�;484-9994 /,Fax;561".544-,7102 a South East F orfda Divisior�Dispatch: 561-844-9994 / Central Fonda Division Dispatch:407-339-5311 S 'Concrete T' sted Yes ❑No LOT # Water Added at -Customer's. Cylinders 1 ken pies ❑ No - ,- Request 2+_ 9als.`tofull load ,:,Comments gaid.�tc 2/1 load .- -gals. to 1/3 load• m P Lc... rot trU— ICn +, •° Customer's Aep,- Water Added - - * NOT RE PONSIBLE.FOR'=sk ARNING IRRITATION' TO THE SKIN:ANDEYES ` - - WATER ADDED TO THIS VARIATI+N JN COLOR OR SURFAC DISCCLORATIOt�h eror freshly mixed'cpncretQrnay cause skin inJury.Avoid contact withADDITIONAL exposed skin areas promptly wkh water. II eny cementpowder or CONCRETE WILL REDUCE ITS STflENGTH Into eyes, rinse•immediately end repeatewater and get prompt tion. Keep children away from•cemenP powder and all freshly mixed AND DURABILITY. ANY WATER ADDED IS AT CUSTOMER'S OWN RISK. BATCH TIME cts. 1N71N0 0 ion On Job Begin Pour Begin Was (0)6�_'0b2_Z_1 04 -Vl' 'I 'PLANT 104 I TIC4ET# ORDER# 437720 'TRUCK# A 169 LOAD SIZE 10.0 ;MIx -. SLUMP 5500 PSI REG HRWF� -DATE 7.00 10%23-/18 CUSTOMER#' 1688- SO_CDTO - XOUAAEE BUILDING SOLUTION • P.O. - BROTHERS PROJECT# ' 9J7E930 DELIVERY ADDRESS ' '• ? ZONE# USE DRIVER •' ; 605 KITTERMAN RD°,l, STLUCIE SLABS Manual Alvarez JCTIONS-- f - _ - - •. TIME DUE - L / G.57 AM PRODUCT DESCRIPTION I.I.O.M. UNIT PRICE AMOUNT . • . 10d00 12�0.00, 140.01 35020551 3500 PSI REG yd 1.00 0.00 F_NVIRO ENVIRONMENTAL DIc-PO._ea 1.00 0.'00 2 FUEL SURCHARGE ea i WARNING -SIGNATURE OR RECEIPT- CONCRETE AND ACKNOWLEDGEMENT OF HAZARD II asc me a oncrete ompany wI InUassume liabiffity for any property amage or any SUB -TOTAL equipmen damage fo -eny deliveries beyond the curb line. v� UM TAX AUTHORIZED BY SHIPMENT SUBJECT T CONDITIONS ON REVERSE SIDE. TOTAL. I'H'a DE_ - _RY IS MADE SUBJECT TO THE FOLLC IG CONDITIONS; " t _ cr hgrpes is crowd•_ a sui able roadway for our trucks from the street pavement to the place of delivery of mdta al we reserve the right to stop deliveries until conditions are remedied and.;^ s.Ich r ct,acrr ::r t^n: be heic ,escors,ble for any loss caused thereby. , v ••,;,. cc5vary is made beycnc the curb line at the customer or customer representative's request, any Oamagas Fnqud,rg, .r t in 'Tit r>d to sideweiks• dri reways buildings. trees shrubbery, septic tanks and septic systems, including t!� orain t-'d at the owner's rsk. _ T-c, c, ;,orner egress to rcimcurse said Company for loss of time and equipment by reason of such delivery, and also m rfernn,fy and save harmless said Company from any and all claims, demands and suits for oron account of or in any nanr,er caused by or arising from private driveway delivery. ' ,sto-rier acknowledges thata:; material and services shown have been received, that truck times shown are cerr�- ct and 'r a t "tip amount of ureter added at the customer's request is shovrn correctly. CAUTION: The addition of water reduce , ra-c-etc;;trength a^dduraui:.ty _ We are not responsibierorfin shed results obtained from this load of concrete; many important factors affecting thephimate - q.i_ .:ty ;f the completed job are beyond our scope of responsibility and control. b A c! erye of S1.00per mlrute w,;l be charged after 8 minutes per cubic yard unloading time is exceeded - I ccs;om^r egress to prnviee a suitable wash down tacillty for our trucks and tools at the place of deliveryof rnater a . iu reoy ag aes to pay aii costs and expenses of collection, including a reasonable attorneys tee if ,e sr u- rev icr, tho mrrchanmse 1 c2eded in this invoice, when due: Past due accounts are subject to a 1-11294 sar6ce e e np ai,, o due ba znce, The customer hereby acknowledges receipt of the complete copy of this 1142 Water Tower Road, Lake Park FL 33403 Office: l-877j484-9994 t(. Fax: 561_844-7102 South East Flo tida Divisiop Dispatch: 561 W-9994 / Central Florida Division Dispatch 407 339-5311,'_` Concrete Te¢ted ❑ Yes ❑.NO 'LOT # - - 1_ Water Added at Customers Cylinders Taken i] Yes ❑ No , . -.. _ ., , I - Request - r '• `y" gals- to ft It load Comments ' gals. to 2/3 load • - - � _ _ ^-'ga(s'. to 113 load Ces omet's-Rep -Water Added ' •' �" '. t 7•'Y.L- V. tJIJb I K GM 8 d tnJ .r NOT RESPONSIBLE FOF WARNING: • IRRITATION.TO THE SKIN AND. EYES ADDITIONAL WATER ADDED TO THIS VARIATION INCOLOR Off SURFACE DISCOLORATION Cement polymer or freshly mixed concrete may cause swn,inI Avoid contact wM skin and wash exposed, skin area's promptly with water. If any cement powder or CONCRETE WILL REDUCE ITS STRENGTH mixture gets into eyes, nn-se immediately' and repeatedly with water and getprompt medical attention. Cep children away from cemenbpowder and all freshly axed.. AND DURABILITY.. ANY WATER ADDED, IS BATCH TIME M1JC:T ,a 23 A.j;'' 4 cement products. - AT CUSTOMER'S OWN RISK. - 7�7 PLANT TICKET# ORDER# TRUCK# LOAD SIZE MIX •' DATE10,3 688863 (34 43 10.0 3500 PSI RED HRW '1 1t3f2�fiQ'. CUSTOMER # SOLD TO P.O.# -' "' PROJECT? 1688 XQUARE BUILDING SOLUTION i3ROTHER_q ' DELIVERY ADDRESS .1 ZONE# - USE - DRIVER - - 605 KITTERMAN RT5' .' STLUCIE SLAPS Stas Ln I3 •ntun SUCTIONS A _ - TIME DUE. ISLPRODUCT CODE I PRODUCT DESCRIPTION I.I.O.M. UNIT PRIC • • • 10.00 130.00 14�0, 01 35020551 3500 PSI REG yd ' 1.00 0.0-0 ENVIRO ENVIRONMENTAL DISDO ea 1.00 0.00 2 FUEL SURCHARGE e'a; " 1 NOT) SIGNATURE WARNING - OR RECEI T-CON flETE AN ACKNOWLEDGEMENT OF HAZARD asc rReyer o cre ( ompany willno assumeliabilityor any,prope damage or any SUB -TOTAL equip t t damat fpr any deliveries. beyond the curb line. _ TAX -. AUTHORIZED BY SHIPMENT SUBJECT 10 QONDI I IONS � REVERSE SIDE. - - TOTAL THIS DEL.. -AY IS MADE SUBJECT TO i HE FQLLO1 a CONDITIONS: 1 Customeragrees tO pYOvlde&3u,13bie r0lxd Vv y'1'Jf o.:i iiuCl{s?f r'fce StreCt FalleR'.c^n[t0 t}"IG G'. �-�GEfv .,°il'-�.... .I. If such sOdaule readwayS are r'fii nrevccd f e reserve the right to stop delis cries Ur�t=1 eJi iG rlOn> I� et'Ir [I I11-i r' ' �r h event. clist3 roer yyli be held 'eo=pons'ble fur ai,v 105s caused the, e6v 2- VThen deNvery is rnado beyond tfie Curb line attree customer or customnl rep eseniative's rcyuus. - nv (;am '„ r'n❑ out .not limped to, s'. rlov•a!ks, drvevoays. bu.' Jin_ S. tieeS,. shrubbe,r septic'anb:s and ept!c fr'-: Ore ri field are at the o'hoer's risk 3. The customer agrees to reimburs said Company for las; of time zno equiprnerit by rea�o°t o` sup deilJery end si.�c ie. ndemnlry and sale harm!o6s -,Pilo Corripnr'v from any and all ..^In'nf> demar](fs ant; Shl-3 to. (5r c.lui l Of (`.' _.i v mannercaused try cr arising from private dr.veuay delivery. 4. CUstanie.r aJKno'PlledgF s that a I rnateriai and servicus shown (lave been rece'sed, tndt truck'I[ -.e.z sho" ❑ aro coma, En-:hatthe aro_In:Ot ,: cateradded at the cdstor"mcr' s+equest Is Shown correctly. CAUTiURI' The, zG IfIJi`. Li- conciete strength and durabi!,,v t 5. We are not responsible "or finished results obtained from iftls.toad,&cohcreW many important tact04 affecting liltuftimafe quality of the completed job are beyond our scope of responsibi!ity and control 6 A charge of $1.00 per minute wii' oe charged after 8 minu.es per cubic yard unloading time :s etceeo'rd. t The customer ag-ees to provioo a swtahle wash sawn taciiity for ow trucks and toeis ai the ple ce D' deil. ery o.-in;enal. 8 The customer hereby pgrE es to oav all, costs and expenses oil culectlan, inci Ai ig, a reaconaul: .,orn ,'•. +rc, `t r,, ,rc' fail to pay for the merchandise reflected in t'`:is 'iri 'oice, Vier, due: Past Clue accounts arc F.i:`i.v.,t tc a charge on*,he urpald past oue ha!ance. Fhe cu. ".mer hereby acka,ovwdr.es ie umt of the, c: m,l :o s 1142 Water Tower'IRoad, Lake Park FL 33403 Offlce:1-877-484-9994 /,Fax:561-844-7102' South East Florida Division'Dispatc5; 561-844-9994 / Central Florida Division Dispatch: 407-339-5311 - '. IIJ .411 URI 1 �583 Concrete Tested ❑ Yes No LOT # Water Added at Customer's Cylinders Taken ❑ Yesl MND .Request - - gals.. to full load Comments ZD gals. to 2/3 load g ,91�. to 1/3 load � Customer's Rep - Water Added tl. T fit Iq TRI Ir' =5/? DRFK 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 AND DURABILITY. ANY WATER ADDED IS BATCH TIME medical attention. Keep children away from cement powder and all freshly mixed 6.23 ' cement products. - A T CUSTOMER'S OWN RISK. L Cad To Job PLANT TICKET# JORDER# TRUCK# LOAD SIZE MI% SLUMP DATE 104 �437721 98 1P7 10.0 3500 PSI REG HRWR 7.00 10/23/18 CUSTOMER SOLDTO - P.O.# PROJECT# 1688_ XOUARE BUILDING SOLUTION BROTHERS 900430 DELIVERY ADDRESS p ZONE# USE ' DRIVER 505 KITTERMAN RD - STLUCIE SLABS Leon Wright "--' ICTIONS - TIME DUE L 7:08 AM ... CUMULATIVE ORDERED •I •. ••. DESCRIPTION - • • .• 10.00 140.00. 140.01 35020551 3500 PSI REG yd 1.00 0.00 ENVIRO ENVIRONMENTAL_ DIEPO ea 1.00 0.00 2 FUEL SURCHARGE ea '4L P OR RECEIPT - CONCRETE'AND ACKNOWLEDGEMENT OF HAZARD SIGN)L WARNING asc meyer Concrete Companywl not assume a 1 , orany propertydamage or any SUB -TOTAL equipment damage for any deliveries beyond the curb line. AUTHORIZED BY ' SHIPMENT SUBJECT TO CONDITIONS ON REVERSE SIDE.. - - - - - TOTAL THIS Dr EERY IS MADE SUBJECT TO THE FOLLI dG CONDITIONS: Custr,-nor agrees to provide a suitable roadway for our trucks from the street pavement to the place of deliverybf material ;` bucr s.wable roadways are not provided, we reserve the right to stop deliveries until conditions are remedied and, in such event c_stomer vAl be held responsible for any loss caused thereby f N;;,.en de','very �s made beyond the curb line at the customer or customer representative's request; any damages i^cludingI out to, limited to, sidewalks, driveways, buildings, trees, shrubbery, septic tanks and septic systems. including the dram f nlri, aye at the o:vner's r sk. Tne customer agrees to reimburse said Company for loss of time and equipment by reason of such delivery, and also to ndemrnfy and save harmiess said Company from any and all claims, demands and suits for or on account of or in any manner caused by or arising from private driveway delivery, 4. Customcr acknowedges that all material and services shown have been received, that truck times shown are correct• apd iha6 th- amount of water added at the customer's request is shown correctly. CAUTION: The addition of water reduces ,mncrefe Btrenpth and durability. -5 Viu are not responsible for finished results obtained from this load of concrete; many important factors affecting the ultimate nu,.hty o° tho completed;oe are beyond our scope of responsibility and control. 5 charr.e of $1 00 ocr m-ute wi be charged after 8 minutes per cubic yard unloading time is exceeded. T ru::-rr•e: zq•^a:: tc c ov,roe a..ultable wash do%vn faciify for our trucks and tools at the place of de4vsryof material. pay uA ccs:b and expenses of collection, including a reasonab!e attorecy's ^e, f tie ; Y n"aY' FGr rh^_ merCr?^^,SP rof cctsd ;n tnls invoice, when due: Past due accounts are sub ect to a 1-1 r2°,� ace ,c. c, ;n " c c.rpa'd oast d.:: ba a oce. The customer hereby acknowledges receipt of the complete ropy of this cont,ac MIT, ri 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:,4,,07-339-5311 I!lII !I!!! IIIII �lII �11llilllii pI i i}el 4 3 1 4-�bb Concrete Tested El Yet El No - .LOT # Water Added at Customer's CylindersTaken ❑Yes ❑No - Request' -- gals. to full load Comments gals. to.213 load _ V f gals. to 1/3 load Customer's Rep - Water Added opripTni 14 „ NOT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL WATER ADDED TO THIS VARIATION IN. COLOR OR Cement polymer or freshly mixedconcrete 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 cement products. AND DURABILITY. ANY WATER ADDED IS AT CUSTOMER'S OWN RISK6 BATCH TIME a 03 PLANT TICKET# ORDER# TRUCK# LOADSIZE MIx' - SLUMP DATE. 104k37726 .5 9a 170 10.0 3500 PSI REG HRWR 7.00 10/23/18 CUSTOMER# SOLD TO P.O. PROJECT# 1688 XQUARE BUILDING SOLUTION BROTHERS 900930 DELIVERY. ADDRESS N ZONE# USE DRIVER 605 KITTEFQAN RD STLUQIE SLABS Jason Rhinos ""-'1CTIONS - TIME DUE L 13-.47 AM TOM # 10.00 150. 0 .00 35020551 3500 PSI REG yd 1.00 0.00 ENVIRO ENVIRONMENTAL DI PO ea 1.00 0.00 2 FUEL SURCHARGE ea 7 I SIGNATURE OR RECEIPT -GONG. ETE AND.ATYCNOWLEDGEMENT OFHAZARD WARNING Mascruneyer Uyncnnu ompalty wI _ no assume a I fly for any Property damage or any -ties SUB-T equipment damage for any dell) beyond theORREO curb n Tom. \ AUTH9 / SHIPMENT SUBJECT TO'CONDITI NS O R FPS - SID�. - �\ / TOTAL TH!S DE RY IS MADE SUBJECT TO THE FOLLC IG CONDITIONS: 1 Cust,;;ner agfaes to provide a suftabie roadway for our trucks from the street pavement to the place of delivery of rate, ai, �J"' u,tahle rcadv. ays arrr, rot piovidod, we reserve the right to stop defiveries until conditions are remeded and. 6, such o±Ccrt customer will be nala respons,ble for any loss caused thereby. - V n — delivery is made beyond the curb line at the customer or customer representative's request, any damages inc udire. nu: ,,ct I' Tiited to, sidewalks driveways, buildings, trees. shrubbery, septic tanks and septic systems; including the drain �.-J are a,the ovmer's risk I _ Pic customer agrees to reimburse said Company for loss of time and equipment by reason of such delivery, and a so to indemnify ano save harmless said Company from any and all claims, demands and suits for or on account of or'n any manner caused by or arising from private driveway delivery. 4. Customer acknoedges that all material and services shown have been received, that truck times shown are corre.t. and J iat the amouni of water added at the customer's request is shown correctly. CAUTION: The addition of water reduces ccncrete trcngth and durability. ^J6 are nM responsible for finished results obtained from this load of concrete; many important factors affedtingthe r4tip,ate :3Lal fy or the completed job are beyond our scope of responsibility and control. E P, creme of 51.00 par m-nutE w:a be charged after 8 minutes percubic yard unloading time is exceeded, agro_s to picJ,da a s>_utablc wash down facility for our trucks and tools at the place of delivery of male; ari , :.�,C.rnC''.•:C 7\' j.ipree4 to nay all cuts and expenses of Collection, Including `c reasonable 3,IomeY s tPc, :f i-? 1c':� •^ : ^ � w( 'Fro nreflected In this invoice. when due: Past due accounts are sub'ect to a t -1 12°1 Ss;_ ZrQr V � 1i�� L''.6Y. aunt rce nald.�ce. rf":e customer hereby acknowledges receipt of the complete copy of';h•s ccnnac' II4�n I 1 lIb 1 1;iel l� 1 IIQall • • , • • �I1 4514 1142 Water Tower Road, Lake Park FL 33403 S office:1-877-484-9994 / Fax:561-844-7102 South East Florida Division Dispatch 561=844-9994 /Central Florida Division Dispatch: 407-339-5311 Water Added at Customer's Concrate Tested ❑Yes [j'(Vo LOT # O.6 a.� Request - Cylinders Taken ❑ Yes [r"ND - gals. to full load. '. ' gals. to 2/3 load .omments C f—gals. to 1/3 load n CICIITftl 10 Tnl V_ r ,. Customer's ep - Water Added WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL WATER ADDED TO THIS OT RESPONSIBLE FOR ARIATION IN COLOR OR Cement polymer or freshly mixed concrete mawihuwaskin exposed skin areas promptly e i"Itneny-ceme powdercony of CONCRETE WILL REDUCE.ITS STRENGTH DURABILITY. ANY WATER ADDED IS ' SURFACE DISCOLORATION 'skm and wash p r medico ete into eyes,p chit immediately and repeatedly with water and get prompt medical attention. Keep children away from cement powder and all freshly mixed AND AT CUSTOMER'S OWN RISK. eATCHTiME 3ti l �o ' .cement products. .J To Job n Job - DATE PLANT TICKET# ORDER# TRUCK# LOAD SIZE MIX @ 353@ `:.I REG HR�'.'.R SLUMP 7.@@ 10%;t .' 11375Ea 93 t:J.l6 a@. ` P.D. # PROJECT# CUSTOMER# SOL0T0 5 �f�(f�-I-�E I�S XQUARE BUTI_D11\1- GLUTIOU 900930 �- ZONE# USE DRIVER _ II"3Z DELIVERY ADDRESS Roberto CLIrib,1110 STLUCIE SLRG5 KITTGRMAN RD + 7 MAX TIME DUE INSTRUCTIONS, _ E ct: AM ^L de 00 1@� @@ 180. 01 35RJ00551 35@@ PSi REG ENVIRONC4=NTAL pLEPO yd ea ��@ 0.00 ENVIRO 2 FUEL SURCHARGE @@ @.Si41 ID^°nn"`"`�ou""""�"•'— _---- y ama eor ah SUB -TOTAL ompany wit, no assume la .... or an property g Y any deliveries beyond the curb line. - TAX AUTHORIZED BY TOTAL T;_iis U ERY ES MADE SUBJECT TO THE POLL NG CONDITIONS: d n6r a,reF)s to orov da a suitable roadway for our trucks from the street pavement to thep!ace of deliver; of matcripi P : Ac _)adiay a•e no, provided, we reserve the right to stop deliveries until condition;; are remedied and. in such c c. ill he n&c1rosronsb1e for any loss caused thereby. d=' ry Is ri-de beyond Ms al{h.line at the,custorrier or customer representative's request, any damages ir,Gunh cd :,de..Vu!ks dnveo'vayt, bu,!dfngs, tree's'. shrcbbsry, septic tanks and septic systems. includin the ! 9'', Lira n the ov.ner s risc g e dr _ n ustc131 to reimburse sa,J Company for loss of time and equipment by reason of such delivery, a^n also C. I nr ',, .,no s wa inr;css said Company from any and all claims, demands and suits for or onaccount of or in arr by Cr " (sing from private driveway deli -very. y C, s`om% acanowiedge,-s that ail material and services shown have been received, that truck times shown are correct, and h� a"o.int n� ratci added at the customer's request is shown correctly. CAUTION: The addition of water reduce r. strc,igtn F rd du cibtity. Prori:cf t espars b o for finished results obtained from this lead of concrets; macy important faMrs affacting.Yhe timats y c np ed job are beyond our scope of responsibility and control. o' .v 1 00 pc, m: --ute Wdl ,e charged after 8 minutes per cubic yard unloading time is exceeded '-Cjj6L1,1. ="ear to P'o!'ide a suitable wash down facility for our trucks and foals at the place of delivery of r flten;;! r gn c". to pay ar resfs and expenses Of collectionincluding a r c r=�.yfc hlTc:rct5�n .� ea-_onableattorr,eysse !��,; r;. _^ rPf ecteo in th's inIoice, when due! Past cue accounts are subject to a t - V211� sart ce or unpa.0 pa t du= ba��rcC. Tne Customer hereby acknowledges receipt of the complete copy of this 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 f:Q 6l9�9�iilil��l�lli� �i�!l��i �.o4615 Concrete Tested ❑'S'es El No LOT # Water Added at Customer's • Cylinders Taken [�(es' ❑ No % a ` Q / I Request gals. to full load Comments \ gals. to 2/3 load gals. to 1/3 load ❑gFtl Tr'�iJR TAL11"N ✓F.i G, f) stomer's RED - water Added - OT'RESPONSIBLEFOR WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL WATER ADDED TO THIS _ ARIATION IN COLOR OR Cement polymer or freshly mixed concrete may cause skin injury. Avoid contact with- skin 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 cemenhpowder and all freshly mixed BATCH TIME . 3.23 cement products. AT CUSTOMER'S OWN RISK. ad To Job On Job To Plant At 3,. z 0 3 3'� 10. PLI b04 TICKET# 2437564 ORDER # 93 TRUCK 1 N LOAD SIZE 10. 0 M'k t a 00 PSI REG HRWR SILLY.DATE n% 00 ,: 10/ 19/ 18 CUSTOMER # 1688 SOLDTO - I XOUARE BUILDING SOLUTION P.O. # -BROTHERS0930 PR111410 DELIVERY ADDRESS. 605 KITTER14AN RD xf '7 MAX ZONE# STLUCIE USE SLABS DRIVER Manuel Alvarez INSTRUCTIONS PSL - TIME DUE , 4:0P AM .•. •. OEM PRODUCT..PRODUCT • Mt,OAC 20.,00 180.01 35020551 3500 PSI REG yd 1,00 0.,00 ENVIRO ENVIRONMENTAL DI PO ea 1.00 0.00 O FUEL SURCHARGE ea y SIGNATURE OR RECEIPT - CONCRETE AND ACKNOWLEDGEMENT OF HAZARD WARNING asc meyer oncrete ompany WIIt-not assumelra r I or aftyproperty damage or any SUB -TOTAL equipment d age for If R ries beyond the curb line. - \ TAX / / AlrTHO IZED'BV � SHIPMENT SUBJECT IWN71ON TOTAL i THIS D ERY IS MADE SUBJECT TO THE FOLL NG CONDITIONS: 1. Customer agrees to provide a suitable roadway for our trucks from the street pavement to the place of delivery of matei-Q. If such suitable roadways are not provided, we reserve the right to stop deliveries until conditions are remedied and, in sucli event, customer will be held responsible for any loss caused thereby. ! - 2. When delivery is made beyond the curb line at the customer or customer repres, tative's request, any damages including, but not limited to, sidewalks, driveways, buildings, trees, shrubbery, septic tanks and septipsystems, including the drain field, are at the owner's risk. 3 The customer agrees to reimburse said Company for loss of time and equipment by reason of such delivery, and also to indemnify and save harmless said Company from any and all claims, demands and suits for or on account of or in any mannercaused by or arising from private driveway delivery. 4. Customer acknowledges that all material and services shown have been received, that truck times shown are correct, and that the amount of water added at the customer's request is shown correctly. CAUTION: The addition of water reduces concrete strength and durability. , We are not responsible for tinished results obtained from this load of concrete; many important factors affecting the ultimate quality of the completed job are beyond our scope of responsibility and control. +F 6. A charge of $1.00 per minute will be charged after 8 minutes per cubic yard unloading time is exceeded. 7. The customer agrees to provide a suitable wash down facility for ourtrucks and tools at the place of delivery of material. 8. The customer hereby agrees to pay all costs and expenses of collection, including a reasonable attorney's fee, if he shall fad to pay for the merchandise reflected in this invoice, when due: Past due accounts are subject to a 1-1/2% service charge on the unpaid past due balance. The customer hereby acknowledges receipt of the complete copy of this contract. 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 /l Central Florida Division Dispatch: 407 339-531 1F_ '1 Concrete Tested ❑ Yes ❑ No - LOT # / e Cam` WaterJJJAdded at Customer's Cylinders Taken ❑ Yes. M Nof:� equest I. tofullload Comments - gala.. to � 113'load �l' ?"gals. to t/31oad _ ,�5•; �-rt ,r., i-CLstomer'.s Hop - Water Added OT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL WATER ADDED TO THIS ARIATION IN COLOR DR Cement polymer or freshly mixed concrete may muse Nun injury. Avoid contact With SURFACE. DISCOLORATION skin and Wash exposed skin areas promptly Ydth water. If any cement powder or CONCRETE WILL REDUCE STRENGTH mixture gets into eyes, rinse immediately and repeatedly with water andgot prompt AND DURABILITY. ANY WATER ADDED IS BATCH TIME medicalattention.. Keep children away from cement powder and all mixed AT AT CUSTOMER'S O R'S OWN. RISK„ cement products. Load To Job On Job Begin Pour Begin Wash To Plant At Plant PLANT TICKET#. ORDER# TRUCK.# LOAD SIZE ,MIX SLUMP .DATE ' I _ CUSTOMER-# SOLDTO - P.O.# PROJECT# DELIVERY ADDRESS I - - ZONE# USE DRIVER INSTRUCTIONS - - -- - - TIME DUE " 1 .- , •.f •'/ • ••r •• PRODUCT DESCRIPTION UiO.M..• f SIGNATURE OR RECEIPT=.CONCRETE AND ACKNOWLEDGEMENT OF HA-tgRD WARNING asc meyer� on a mpany w, no assume Haburry ny or any property damage or any SUB -TOTAL egytpme t damage f8ra y de liI546 beyond the curb line. - tll�..,. ilk ,ems TAX ry a AUTHORIZED BY SHIPMENTSUBJECT TO. CONDITIONS N REVERSE SIDE. TOTAL t OB iEC c..TO.! HL FOIL. NG CS NV `ONS: 1- .,'%:�"f, Y, < _P.I f:C. .., _. ., i'��-',�„ S:li✓ rJ. �_i'�uJ �l "i`m. i`;_ .. _ Asjn .i r l . , , , :.., ' Yks c:nCo ` ov,.,CN •n;,dft]m c!oDd Jf C. n..rgl'' • - • • 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: 407-339-5311r SIiipli Ir ppIt i''qa �{ I AJli'• 11`` µ p1. A Irt [S nnppyy y, Ilyry�$,ppgqr a t 11� ,I+t{11 II3,"t�artµ33a 11'Gira!rCIr �rOli l�Vl �t'(d�l �r �`I%Pjl�Ifl '., Concrete Tested ❑ Yes. ❑ No LOT # I Water Added at Customer's - Cylinders Taken El Yes ❑No q Request; gals, to full load Comments Vials. to'2/3 load gals. to 113load Customer's Rep - Water Added - OT 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 earnest powder or .CONCRETE WILL REDUCE ITS STRENGTH SURFACE DISCOLDRATION I gets into eyes„nose immediately and repeatedy "mth water and get pmmpt 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. ad •77 To Job I M. On Job r jy /cry � i �P f1 4_f I4l �• . t„(i / fmlx To Plant At Plant I jis rc 'PIANT TICKET# ORDER# TRUCK# JLOADSLZE SLUMP DATE CUSTOMER If SOLDTO P.O;,# 'PROJECT# _ DELIVERY ADDRESS ZONE# USE - DRIVER INSTRUCTIONS TIME DUE ••• !•r • PRODUCT •r •!r DESCRIPTIO .o.m.• !1k! SIGNATURE WARNING OR RECEIPT- CONCRETE AND ACKNOWLEDGEMENT OFHAZARD cPfiaschmeyer Concrete compairty—will not assumeliability for any property damage ,or -any SUB -TOTAL equipment dar68ae for any deliveries beyond the curb lino. h7, / . A TAX. r AUT RiZEDHY SHIPMENTT UBJE. D1_I REVERS - - ---- TOTAL' LON , V I— 3R 'a jDjECT70TNE FULL NG MW AGNT -,Yn &GWK7� toes, shqpbpj� 'm��c '�C! 1 nA ncm mITYPY unrl any ano ap Noun jprmo� al -.Qs"; i,-' fciz '�i' L f -arf�4) u .:t,Kv snown tote been mccool0of v.WnshuNp Imvm' typ"m W cusemm, 10ques is shown sc,�rvcflern J" �-' � n I s'. T- j ss I '." �� !�su!is 4cw ti<-' fc:ld 01 m;ary i!np. r,io'. 5 vv" S one; on P&AC m ravu U on Ad 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. 40, NI FEN )i5tjy�1'jy��r�'��1`py�''j�e�;, 1.'�91� 1 �Ni�A I.M.M. 1%M . . Concrete Tested ❑ Yes ❑ No LOT #- _ Water Added at Customer's Cylinders. Taken ❑ Yes; ❑ No 0 Request gals.. to full load Comments gals. to 2/3 load - - 1 IA+ rr._.gals. to 113 load -- _'stomer's Rep - Water Added OT 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 manure gets into eyes, rime. 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 ' Begin Pour Begin Wash To Plant At Plant /// 3j- PLANT -TICKET# O DER# TRUCK# LOAD SIZE. MIX SLUMP DATE .1,- a _, �.. .. - t` .:1' ..rrf , ,CUSTOMER# SOLDTO - - :;F P.O.# PROJECT# ' 'ZONE# DEUVERV ADDRESS - USE DRIVER INSTRUCTIONS -• TIME DUE •.r ORDERED PRODUCTCODE PRODUCTDESCRIPTION fQUANTITY n t 1 SIGNATURE VlARNINO. OR RECEIPT •.CONCRETE AND KNONlLEDOEMENT OFHA ' ase meyer Concrete c pang wl. he assumo is 1 I or any prop amage or any _ SUB -TOTAL equipment. damage for anydeliveries beyondthe curb line. TAX AIfTH0ARE0 BY SHIPMENT SUBJECT TO CONDITIONS ON REV'cRSE SIDE. TOTAL TH S M MY;S rAAf`)E!ilJSJE'CT "THE FOit_1 qG COMItT GNS: 1 Gustomer agrees to provArh a s.11tablo. roadt'!ay fvr ci!''tru",�s tram the &b EiOt pavewr- t: tnP. p'at -,of d"+ll\ c- cf T-'-' 1 ". If roach/ays are rot provided, wo reso'rve therigN I l5?Op,dclm4 riea mild con itfOns cis ry ll dl .a nnc, ir. UUG evert customer will be heia respons'ble for any loss eaused 11,oiEby. Z Whondel.veryismade beyond Ihecurb line atthocustcmeror ustomsrrep, csontativocrequest, inydarn feswc�l-:''CID out skof limited to, s dewalks, driveways, Gwidings, trees, shrubbo+y ,eotic iarAs ano septic sys+ern;;. in ,lud'nc. thr r rar 'veld, are at the o vner s ris'k. 3 Trio customer agrees to reimburse said Ccmoany for logs of time and egu'pment by reason cf suer deiwury er:d a]-0 to indemnify ano save harmless said Compary For+ any and all claims, demands end suits for or' on ar-count of _r `i, an mannercaused by or arising from private drive Nay do!,Very Customer a-Knowledges that all material and se-vice5 shown na.vw been reached, that tr(fc;k Vrnes he vr, are ccareci, at IG that the amount of water added at the customer's iecfuPst is ohown correc`lv..r,A5TION• Thy additio+, or water rru lca. concrete strength ar a durabiiay. �. We are nod rosponsible for finished results obtained from this;oad of cope, e.e; ma5yimpo"Lantfartors affect ❑q the, uiun r qua ty of the completed jot, are beyond our scope bf ie5ponsibi'r'ty and control. 6. A charge of $1.00 per min auto w;li be charged ai'.er 8 minu'.sc per cuu;c yaro unloading time is exccedad . The dusto'nel' agrees to pcovidea swra7le wasf, dom-i tac:':iy fur r)Ur tru'CiiS and toms at fne o18rE et di;'I:YC f Gf 11;t'.f f1£s I. $. T he custon ar hereby �igrces tc pay al; uoste ano F p r',tie'_l of c0ectlon, I uding a "ease w4ble adorncvs f e. ;t h^ l tai; to p_,y for file mer&andise refiectoo in tnis-Invur_e :Ynon ck)c: mast duc- accounis a:P st,bjeC:l r a 1-'t Charge cn the unpaid past due oatarce. The cost,.mcr nereG'y a—koowledges recelpl of the 6ulnil,r' IIo J c", ih a C, ;' "-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 r = la:j ''.flli lei ibo l a. i q� � ` d, 518 Concrete Tested ❑.Yes ❑No LOT.# - _ - Water Added at Customer's Cylinders Taken ❑Yes ❑No Request _ gals:. to full load Comments gals. to 2/31dad gals.: toWload Customer's Rep - Water Added '-1f :,_. T'l,l 1, IOT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN ANDEYES ADDITIONAL WATER ADDED TO THIS vARIATION IN COLOR OR Cement polymer or freshly mixed concrete may cause skin injury. Avoid contact with skin and washexposed skin areas. promptly with water„ If any cement powder or CONCRETE WILL REDUCE.ITS,STRENGTH SURFACE DISCOLORATION mixture gets into eyes, nnse Immediately and repeatedly with waterand 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. BATCR TIME - _ - cement products. Load To Job On PLAM WCKET# ORDER # TRUCK # LOAD SIZE. MIX - SLUMP 7. DATE GUSTOMER# SOLDTO P.O.# PRQIECT#' I --- 11' , r I.`. .. , .'I I"tv ° 'i1 .1 11i, L Tf „!'.'i4 _ DELIVERY AODRESS - ZONE# USE ORIVER la.ti i ,. i I r_ .I -if `I Q- .. •,it`s �:-` 1 � ' , - n". , ,: _ INSTRUCTIONS ORDERED PRODUCT CODE PRODUCT DESCRIPTION U.06M. UNIT PRICE i AMOUNT QUANTITY SIGNATIJR`c OR RECEIPT - CONCRETE AND-ACKNOWLEDGEMENYOF HAZARD WARNING asc tmeyer C oncre mpan—�rno assumo la 11 or any property damage or.any SU&TOTAL ment damage for any deliveries beyond the curb line, TAX AUTHORIZED BY SHIPMENT SUB.IECT TO CONDITIONSON REVERSE SIDE. TOTAL tip .,.7 CiP ...., ... C.. r,1m�p..�., , n hi pH .l,t, 7_ifrin-, 1 t= Adrw 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. 4L r•aoy-Jn. l Concrete'Tested, ❑ Yes i] No LOT,p Water Added at Customer's Cylinders Taken ❑ Yes ❑ No Request 4 -- gals� to full load' Comments - '-"' - �alg'0�o 2f3 load gao 113 load Custone Re - Water Added. IOT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL WATE ADDED TO THIS VARIATION IN COLOR OR Cement polymer or freshly mixed concrete may muse skin Injury. Avoid c>Jntact. 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, rinseimmediately andrepeatedly with wafer and get prompt AND DURABILITY. ANY WATER. ADDED IS BATCH TIME - ' -Y - medical attention. Keep children away From cement powder end alf freshly mixed AT CUSTOMER'S OWN RISK. . _ `, cement, products. Load To Job On r I -DATE PLANT' TICKET# - ORDER# TRUCK'S LOADS)ZE MIX -. SLUMP f il':' n ,I-�, I • �'..•i .}�•'.I. .i4 I�. I-� l'-'il il. I .fir i. # SOLDTO P-04 PROJECT# -- _CUSTOMER i` ,.i:. i,. 1 •. pp%'~Y:( 11 11�1i itilif l'iC J,t'(- _ . .t •... _ <-'I _ DELIVERY ADDRESS - ZONE#- USE. DRIVER rc"I „ ;1 }$°t'� v. h,.. 11 INSTRUCTIONS / TIME DUE I•� ••1 PRODUCT•D It • • • UNT • • CI 01, SIGNATURE OR RECEIPT -CONCRETE AND ACK XLEDGEMENTOFHAZARDWARNING .: asc meyer oncre a ompan Will not assume.Itaoffffy1or any property damage or any SU&TOTAL equipment damage for an) de. 14, !as beyond the curb line. TAX _AUTHORIZED. By .SHIPMENT SUBJECT TO CONDITIONS ON REVERSE SIDE - - TOTAL lit R f ffs r if -FITS MADE SUBJE T '!G r HE FOf_t_ YG CGNOITIONS� '�. ctr's?Orrlcr2f�i?�u$.bf.'.0'I(fc _^, SUI.nhIC {'C20t4 dy lilr7 ftr..'Ctt`.9it, SircE(too ,^:In 6. r'T Tri f!'1=i1'^ ,: =.?i:-!E iG'i r'f d':,i. �L%;7i 41 1uble rcacMays arC To. arov.dad, we mswe Me nght tom ., up del ',v ✓ „s u7s ccoddon a . V runo a`rd. a y Vent, cmiorrer t'Ji i ,bp. !S'Io .msp0iistln tcr ary ic3sausect irleieby ^_ Whei'L defrt ry 'a L^,ade bojord the CUi"o i'ne at ttl^ c"Sf'r?eY or oUStC"er rBp' S?n:it VE+I6�Lf:, any oo '^_,y . but no' "ilited to, Sidewa*s, driveways.. biold'ng% tweS, ShrUhoE!ly C6Ptic ynl,; S ano ,epii c SVSt--2m y. ;nr,I Fj% t`7F. f sid "ar: at tilt awner 3 ri . 3 7ho custorner agrees to reirrmtui se said! Company for -5 Of e ms and egol rneitt by r asor t.4 suer lei v�? ry, and rldelT7rly ano save hatm[uss swd Corlpany ffom any and 31i5ia1#??t', &mand5 8'"ili:z Ullc for o' cr mannercausad by oratisirr,• from private dove,vay daiivcry_ 4 Ci fstomor ac sr G:^i;:'d9aston at ail mate na'and se"Wes siigwrt 'lave bc-ALii i 3ceiv3d, t,at trU 4, I lr?cs st-,a 'rrfc c, r c t. aims thattho arroe.nt of to aW r added at file ctl$trymtit s'requsst:a snown coi:ectly CA'UT10N I he addr of vv concrete strength and durability. S. 1'Ve are not reSponatb!_for f!r.jsN d re.ultS Gorninsd frzirn th;z, ioad of Cor= a .r afl'y �rl pca ,an( T"' ^. S _.f`ec r ;c' , iti^•;;`L' Q zhj 04 to Coi9 NoWj;i)o a,e beyond our amps ui recU0451o11 o y a;?'d coR no . b. Q Charge, of Q Xj uer m:^ute va% ba cr aT =d ate, 6 7noof cc po., UaCIC yraiCi u 0oadirt, ri ,e s o,tc c'c`deu. 7 Th2 cr, tOnTI- ar.;rees to provide a s,.dtabie vvmh domn VvWZV for r r tru. k and 65; at 8. -:'t.')pay for the ma man ize refewd in Ans inn5ce, Wen doe Fist oa p^.LO+= are SLofet,. c 'd "-'•'� ,�`;iC.� charge un t `e urpa�d pas` dus ba:artcc. I r:. e �ercbv Asti {i ng 's rerw,! 0 Me coill'olf L iC:O" of = r""I PTO �i 1142 Water Office;1-877-48 South East Florid d; LaW Park FL 33403 561-84-7102 itch: 561-844-9994 / CentralFlorida Division Dispatch. 40, a l Concrete Tested I] Yas ❑ No LOT # Water Added at Customers Cylinders Taken 0 YeA , No Request gals. to full load Comments - -. gals. to 2/3 load gals. to 113 load - Customer's Rep - Water Added ; WARNING IRRITATION TO THE SKIN AND EVES IIWOT RESPONSIBLE FORFsk,io8ndp ADDITIONAL WATER ADDED TO THIS VARIATION IN COLOR OR olymer or freshly mixed concrete may cause skin injury. Avoid contact with CONCRETE' WILL REDUCE ITS.STRENGTH SURFACE DISCOLORATIONwash exposod skin areas promptly with water. It any cement powder or etsIntoyerinse Immediately and repeatetlry with waterand get prompt, is tionKeepchildren awayfrom cement powder and. all freshly mixedAT AND DURABILITY. ANY WATER ADDED ISBATCH TIME ,.rotlucfa CUSTOMER'S OWhI RISK, Load To Job On Job PLANT .O TICKET# .RDER # # 'LOAD SIZE mix $LUMP DATE f [,, I d 'RUCK CUSTOMER# SOLDTO ROo# RROJ ECT# j.AJ1I_1)0k1 ,.ULLII "'N D_EUVERY ADDRESS - ZONE#' USE DRNER -l� INSTRUCTIONS t tit o f:'. 'SIGNATURE OR RECEIPT CONCRETE AND ACKNOWLEDGEMENT 0FHAZARD WARNING ' 1" asc lmeyer Concrete ompanywi not assume liatillity,fovapy p amage or any SUBTOTAL equipment damage for any deliveries beyond the curb litre .^,_ l TAX TIITAL AUTHORIZED 9Y,.,; SHIPMENT SIIR.IECT TO. CONDITION ,ON RFV�E S� IDS E. 1 -! I TBf -i Lit —. r!V B:f it9ADE SUBJEC -i TO HE FOLILi —AG C:ONDI , NSz L 1, Caster j, 3 }tp95 toIt a' le loan V au for 'SoIr! (.o from tt - street pavement rt it nl"'Lo ti 4 ry It „a ;NtuDlt road*,.! t,,,t �,-;, [ p L`il('l2d. Vd rf 32r�N3 tttO r�7`it f c.p c f3r,eg'/itt7, wY rid"WCs '1L • ;€'��. � ^. -<� 3vani, customer wi i bp heio responsible for any!Ms caused trier ;i:•y.. �.....� - L��ffe.n:.�-faiVP.l'�/+.�t([i8lt�bfi'j9rifl1fiB CUrtJ li(`?�c.ttl'lOr:1J^utC,??Gr Of CUot aff�r r4'ap 6�P,?li3tiJE':7 rd.t1. 'St $'lY7 {itv ��, .ad, ly. but riot lifnited to, sldewaiks, driveways, buiidings, tress ,, shnibbc y. ,ep+'., tank_ a 1:ieafic sy��e r it :` t+t pi!W dctir fie;d, are at the orinel's risk a. i tIC CUS,Ome+ agi'e25 fe rE:irr16:.IfSe.S:ald l'..Ofrlpolrl% fci IC1a.3.Ut YIP12 arlo WciulpmenY by rC8 aOr'; t)f SUCI"1 delfvEf �J Zr,CI o!5C; try inden^r�ify and save harmless. said Company from any and ail claim,, demands and suit's for e! zip, acci r f or in :and, manner caused by or arising from privdtodriveway delivery 4. GJ<;tomtar ackne4Vied�jpsthat al+materlala6idse:vices shown have, been received t'hAfiuck tmxC- Snovdn are cerfoct, ifVr' that the amount of water added a't the (:Ustorner'9 request is -,hRWn corf ct;y "AoTION. The addition Ct water r$cuff,ri, concrete strength and ducat ihi:V, 5. We aro not responsible for ti Dished result's obtained tiom this load of Toncruta manyii ;rtf^cars ar ecarg the- u+ri Y rYte quality of the completed job are beyond our scope of tesptvisibiRy and control. 6 A Ct ,rge of $1 JX) cer miflute will be chargod att= r 8 minutes; ae Cublc, yaid an;-)xmg taoe ,s excseded. J %.. T,,g customer agrees to pruvide a suitable wash dovVfi faelltyIT our truck awl! toCti aZ <h9 rJacP, of n9�t log .1. i h customer .ereby agrpps to pay ali costs ano E,'xpeti'C£.s of coilertion, Ir cii dlnq 3w3nnab;04pttorne) ste, it h fefi ttf pav for the iror6andlse retleG'ied In this InvGfce. when due. Vast dun acccunts a— S :'Jjet t to a 1-1 f . Jo cftarge on the UnpaiapaatdUe balance, Tns custumea hereby achr ovr+ec;3; r t ipt at ,e r;,,c',r E� ...a,a:, n imumma 1142 Water Tower Road, Lake Park FL 33403 Office:1-877-434-9994 /Fax:561-844-7102 South East, Florida Division Dispatch: 561-844-9994 / Central Florida Division Dispatch: 407-339-5311 a5 ��i �'u��w tfE;¢u i� �tl'tlljtlIiy Concrete Tested ❑ Yes 'ONO LOT # Water Added at Customer's Cylinders'Taken. .O Yes ❑ No Request - gals. to full load Comments gals. to M load -gals. to 1/3 bad Customer's Rep - Water Added OT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL WATER ADDED TO THIS VARIATION IN COLOR OR amen[ polymer or freshly mixetl wncreta may cause skin injury. Avoiji contaa wth skin zm wash, expdsetl skin areas promptty wrtfi Wat¢r. If airy cement powder or CONCRETE WILL REDUCE ITS STRENGTH SURFACE. DISCOLORATION nuxt". gets into eyes,:rmse Immediately and repeatedy with water §rid get prompt medical attention Keep children away from cement powder and all freshly mired AND DURABILITY. ANY WATER ADDED IS _ BATCH: TIME - ;. cement prdtlupts. AT CUSTOMER'S OWN RISK. - - - ad To I On Job Begin Pour Begin Wash To Plant At Plant .,'0�,', 'ORDER PLANT TCKET# p # LOAD SIZE _ MIX _ SLUMP DATE - IRLICK ,CUSTOMERq. BOLDTO - - R.D:Y_ PROJECT# - OELIVERYADDRESS - - - - - ZONE# USE DRIVER +'.; i'a fit I �'. ... � ... .1 i��.J_ . +.ir•', r. ..t, ,I'. i, -- INSTRUCTIONS' - _ - - - - - - - TIME DUE' - - WAILlulir • PuilllliM! � r '11'` ,� �q l• l: i. SIONATUttE.OR RECEIPT-CONORETE AND ACI(IvOWLE DEMENT OF HAZARD .WARNING • : - asc meyer concrete company will not assume liability or any property atpage or any SUB -TOTAL equipment damage,fdr any deliveries beyond the curb line., - TAX -- AUTHORIZED BY. - SHIPMENT SUBJECT TO CONDITIONS ON REVEVSF SIDE TOTAL, -' -,i �-, - -- -t .. �i ' � -.I T ,n-r ,i'.l � � �� u � ,. � i - - - ..- - - t. ' -r � :-� �r I '�t -. - - .. ' -. .t� - . - -.. ,,, � -... ., �tr� , jmcm= 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 J IIpYlIi rffqypI�1fr711 $�9yyj hII �@u�pgr9+ftdq9}�i {pyjrr� yypl �pµryy rl1jl1^ r I�A�pypj, 1 6r6r i13;14tu1_Y�I��Al19it5!�I�Y11t1115+I!l� R i 4 v1 0 Concrete Tested n Yes ❑ No LOT # Water Added at Customer's Cylinders Taken C3 Yes 'p.No Request gals. to full load Comments gals. to 2/3 load --,--gals. to 1/3load - - B '• ; 1.' P 1 `I Customer's Rep - Water Added - - Amilk OT 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 andrepeatedly with "ter 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. 6AiCH TIME .. ` cement products, - - Load To Job On Job Begin P�oBrBegin Wash To Plant At Plant ,� r yy PLANT TICKET# ORDER# JTSUCK#.I LOAD,SIZE mix - SLUMP DATE - _ CUSTOMER# SOLDTO - P.O.# PROJECT# DEUVERY ADDRESS ZONE# USE - DRIVER INSTRUCTIONS -- - - - TIME DUE �MCUMULATIVE ORDERED PRODUCT CODE! PRODUCT DESCRIPTION U.O.M ;;U IT IC4 QUANTITY QUANTITY SIGNATURE OR RECEIPT -. CONCRETE AND ACKNOWLEDGEMENT OF HAZARD WARNING. ase meyer Concrete ompanyW no assume la Icy or any prop amage: or any SUB -TOTAL ,equipment damage for any deliveriesbeyond the curb line. , f TAX AUTHORIZED BY SHIPMENT SUBJECT TO CONDITIONS ON' REVERSE SIDE. - TOTAL :.'jd ` C TO "!'.y' F vi_L, NG C,_)N =iTIONF: •.' J i :J". w.j jb7g,. sm.,shrU: t l( jusAnunks5ll tnt WOUC:Oy ♦ V,i.,. _» Ji'CYI _ aw „C!Iu. MOW my Iv .uo A 0,0 jQ;'Wo , Am'. r - i ( v 3. , n,l' dl '_ic1 ;, rlt 61l ♦�.. 4#, i�Y : IiC; _ lJ1Aj P l��F;'i (!, .Ill...7. 1' � i l ",k "'i r-g a, ri♦Mr;cwad n I'nm to "13 ♦ ^I'r `_�. .� ... - I 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 1. 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 - - ,Mlomer's Rep - Water Added 40T 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 muse 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 _ mndure gets into eyes, 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 anicH'nme r ,, ,.- cement products. AT CUSTOMER'S OWN RISK':. Load Job On Job Begin Pour Begin Wash To Plant At Plant .T. F a. �+ 77777 PLANT TICKET# ORDER#' TRUCK# LOAD'SiZE MIX _ SLUMP DATE :,i -7-r7 'CUSTOMER #. -- SOLDTO- P.O.# PROJECT# n J I;i irN r i'.'i • _.�I lil: i.'1 ij .i i- li DELIVERY ADDRESS ZONE# USE - DRIVER INSTRUCTIONS FAD CUMULATIVE ORDERED PRODUCT CODE j PRODUCT DESCRIPTION U.O.M. UNIT PRICE AMOUNT ,NTITY QUANTITY QUANTITY I L 1 SIGNATURE WARNING OR RECEIPT -CON € D: ACKNOWL DGEMENTOF HAZARD asc meyer concrete company will not assume raoirry Tor any prope amage: or any SUB -TOTAL equlp�rneni do_ 'ge},r anySM eries beyond the curb line. TAX ' t,.. AUTHORfZED:BY SHIPMENTSUBJECT TO rONDiTIOPr ON REVERSE SIDE.: - TOTAL MVDF :anti-3JECT TO THE POLL 4GCONDH-)NSA� M4'�L.,Qve "ON way: non Ono Con0oln To IC '. y a AC C wyac 1, Zi:' l0-- �Num' '96 'i4fl G• (:u; to fner ur 3torner rep ruse! a Ave's mqtnst 3py dam aq a. &'j !e shwrtarjt nephu Wks and sppFr nyvpn4. I^C Nw n P- t d'%Qj_ rE Soo SAXI,, jo: so,, a hwl W"Aw had CompArIA-i any and abdawin If s So= nave bRen recowed, Mat tuck wec shcwn w b a, w?r c, n 0 M! an pe: C, wic ; a: d Ul"i x 1 7�1 !A 'w ond VH '3 Q W. C" J';i Tll'iCA; aqo ONO. 1-111 1 lluy A 01. K, 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 I i, u � k1i` lqe f i I ' I li ICJJ yy it �� j -2U4522 Concrete Tested ❑. Yes 0 No'. LOT # Water Added at•qustomer's Cylinders Taken 0 Yes ❑ No. f'Reques Comments. —�Bals, to full load d gals. to2/3 load gals; to 1/3 load CustomersRep - ater Added NOTRESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL WATER ADDED TO THIS VdRIATION 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 suflFACE 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, Load To Job On Job Begin Poura-Z To Plant At Plant PLANT I-TICKEET#I � MP 7 DATE CUSTOMER# SOLDTO - ti .�rT(, P10:#' ,!III .� PROJECT# _ i. .rJ . • DELIVERY ADDRESS - ZONE# USE DRIVER - INSTRUCTIONS - - TIM E DUE, ORDERED PRODUCT CODE PRODUCT DESCRIPTION U.O.M. UNIT PRICE AMOUNT ! QUANTITY ai SIGNATURE OR RECEIPT - CONCRETE ANDACKNOWLEDGEM NT OF HAZARD WARNING. _ asc meyer oncre e' Miipany will not assume 1—Dilay Tor any property damage or any SUB -TOTAL. equipment d--,a. fbr any deliveries beyond the curb line. TAX AUTHO RED By SHIPMENT SUBJECTTOCONDTIONSONREVERSE.:SIDE. TOTAL. " ! " , k- � "Id , - ! P -, I , � -'� ci Y:' s E a ME Mil At 0 Mf VAh 2 V top W)", 1x: J "'0 in: 'I j nn &Qo Wn ".)v C-� • ci1, ��:' - i � �'4 saw M, 1, nybou mv atid dl'�'I-!"4wdsand sijil� [(.,I :.'; C) 'Wq invy H wendai slown toot beer. meaked, M womms sm. 3 >.o %Y ! a; wj�, j a f VIL m .0, LUNO youOAN 10 P 'm 4 A nn�sn Won, i v 7 . yc" 17 i . , '- 'y' cc Il �nentl�l�ft �I��I�ill ��ill�f�5'.�IS�I I��I 1142 Water Tower Road, Lake Park FL 33403 Office 1-877-484-9994 / Fax:561-844-7102 South East Florida Division Dispaf h: 561-844-9994 / Central Florida Division Dispatch:407-339-5311 Concrete Tested ❑ Yes. LOT # WaterAdde¢at Customer's Cylinders Taken ❑ Yes o Request To 1 gals.. to full load Comments s, ,- gals. to 213 load gals. to 113.load AI - - Customer's Rep - Water Added. MOT 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 vrith skin. and wash exposed skin areas promptly with water. If any cement powder or CONCRETE WILL REDUCE ITS STRENGTH SURFACE DISCOLORATION mixtucal re gets Into eyes, rinse immediately and repeatedly with waterand get prompt AND DURABILITY. ANY WATER ADDED IS BATCH TIME mediattention. Keep children away from cement powder and all .freshly mixed AT CUSTOMER'S OWN RISK. cement. products. - K . I On Job Begin Pou Load To Job r Begin Wash To Plant At Plant �. �G 1 6 PLANT TICKET# ORDER# TRUCK# LOAD SIZE MIX SLUMP DATE CUSTOMER a SOLDTO _ _ '�r ISO,:•1 I 1--Tr, PO.# _ '� Y'IJ PFiOdEO_T# • DELIVERY ADDRESS ZONE# USE DRIVER. 'INSTRUCTIONS •IEM••• - ! PRODUCT!!E PRODUCT DESCRIPTION u.O.M.AMOUNT . _1.. ,J:;i . 11„ .tl• - Ilj .�4.. i w..fl ('-- ...r. i- i. i IL/t �5 SIGNATURE OR RECEIPT. CONCRETE AND ACKNOWLEDGEMENT OF'HAZARD WARNING Wascruneyer concrete company wl nor assumenabany _or any PTUPWILY damage or any SUBTOTAL equipment damage for any deliveries beyond the curb line. TAX AUTHORIZEDBY SHIPMENT 5UBJECT TO CONDITIONS -ON REVERSE SIDE. - - - TOTAL ,�,- I P � �S MADE XWECT TO THE FOLL? qG CONDE QNS7 on PC wjAW01 n Fula "o... !(if, J, wo 0o w0we" Pit coWW ; M. 0 y "01-2 'j"'VQ Ti q Ur 0SU of j J� _;- I - I :, zj. 1 7,o� t. !-lcx zi, i:-,3 -�Lt� .. X.; Oman Own& �rxr'F,Shmd �j )b em., ', -, --� rl T ' L4 � j , L " _ i '. i 11 Y d. Fj 1) i , 1 �;7 SKQ, If wA,QE QFJ ZUYom: unoas�, 0 Q—nAx�,!, �Tz KWK, W Wn n N 1�0 A � 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 rve. �i l 1� O 1It+f 1111`iPit 7�98� f I!i I111 � ' �24 Concrete Tested .Yes. []No LOT'# Water Added at Customer's Cylinders Taken ❑Yes r-lNo Request gals. to full load Comments gals. to 2(3 fozd. gals, to 1/3 load I! , f - 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 immediately and repeatedly with water and get prompt AND DURABILITY. ANY WATER ADDED IS 6ATCR TIME medical attention. Keep children away from cement powder and all freshly mixed AT CUSTOMER'S OWN RISK. cement Products, - - Lead ro Job On Begin Pour Begin Wash To Plant; At Plant :PLANT TICKET# ORDER TRUCK# .LOAD SIZE Mlx �'�, e1.UMP DATE - - t.',•k.;.. _ .. �:. .. of •' y ��i ;'ej7 •ir,'1," .-} ,., CUSTOMER# - - - SOLDTO' - PO.# PROJECT# -r.:y, ir, _ .. i., •Ut IS' 1. .(lt I` 7-I.;fl S. •,,. ft• .. .. DELIVERY ADDRESS - _ - ZONE# USE DRIVER - - INSTRUCTIONS - TIME DUE +;. `.. ;'(• :. li,'. if Y, .. DTI, r-'; ,. „.�l". - SIGNATURE OR RECEIPT- CONCRETE AND ACKNOWLEDGEMENT OPHAZARD WARNING. AREXHUWAYLAWmA asc meyer Concrete Company mil not assume Hart)I fry- or any propenry amage or]MY SUB-TOTAL equipment damage for any deliveries, beyond'. the curb line. TAX AUTHORIZED BY `SHIPMENT SUBJECT TO CONDITIONS ON REVERSE SIDE, TOTAL Ac HVIW SOP ccll 1 T.--: ic;sb W Orne arto impipirnmi by reason of sun, oe w" tv fo,05W 1 top OM Nano W dams £ 1w, nu CM sem yes shown nave Woo i eLaWea, ti icu ta)"nir js l il�,;,Spy n0f ?or" C, 7 ........ 6� 1142 Water Tower Road, Lake Park FL 33403 Office:1-877-484-9994 / Fax;561-844-7102 South East Florida DivisionDispatch: 561-844-9994 1 Central Florida Division Dispatch:407-339-5311 Concrete Tested [] Yesf LOT # Water Added at Customer's Cylinders Taken' rJ 1'es `i�,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 water., If cement or CONCRETE WILL REDUCE ITS STRENGTH SURFACE DISCOLORATION skin and wash exposed skin areas. promptly with any powder - mixture gets into eyes, rose 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-. - cement products: - - ..r toBegin /r 'Job yf/ PLANT TICKET# - r ORDER�NTRUCK# LOADSIZE MIX SLUMP DATE CUSTOMER# SOLDTO - P.O.# PROJECT# - '.TOME DE LIVERY ADDRESS _ZONE# USE DRIVER -t r j;-i. ::' I [: ,... 1,. ..,,T- •.. i ';'.. '_(.- ;.. t`'Et�; i",; Yl.. :,. r,•.,r INSTRUCTIONS _ TIME DUE • L 0, 1:'1 :. '•h l i'',. Y.�,' = , I�. 1. ". n `ia�. - e I ! SIGNATURE OR RECEIPT = CONCRETE AND A.CKNOWL UGEMENT OF HAZARD: WARNING asc mayor oncr- e.. ompany willnoassume laI I y or any prop" amage or any SU&TOTAL v equi�t damage for any deliveries beyond the curb line. - I TAX " AUTHORRED BY SHIPMENT SUBJECT TO CONDITIONS ON REVERSE SiLit. - TOTAL - ,�� ,��-„r _� rcr, . _ >� , ,. 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 1 Central Florida Division Dispatch: 407-339-5311 Concrete Tested l]',Yes I]No LOT'# Water Added at Customer's Cylinders Taken ❑ Yes M No Request Comments gals: to full load gals. to 2/3 load n _.:gals. to 113 load Il`r L.y .. Aif � - ! V Customers Rep - Water: Added , NOT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES ADDITIONAL WATER ADDED TO THIS - VARIATION IN COLOROR 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 - - - - mndure gets into eyes, rinse m nediately and repeatedly with water and get prompt medical attention. Keep children away. from cement powder and all freshly mixed AND DURABILITY. ANY WATERADDED IS BATCH TIDE cement products, AT CUSTOMER'S OWN RISK. - - Load To Job On Job Begin Pour MZIZ.IEMII� To Plant At Plant 2 6, >'Gf , PLANT TICKET# ORDER# TRUCK# LOAD S2E, MIX STUMP DATE CUSTOMER# SOLOTO P.O. PROJECT# 'DELIVERY ADDRESS ZONE# USE DRIVER - ;'".i`r INSTRUCTIONS - - - - - TIME DUE - -- • I •'. . PRODUCT•.E PRODUCT DESCRIPTION U.O.M,• SIGNATURE OR RECEIPT -CONCRETE A14D ACKNOWLEDGEMENT OF'HAZARO WARNING . ascomagoSUB-TOTAL meyEr anta a ompany cot no assume I I n®a equipment damage for any detiverles beyond the curb line. - TAX AUTHORIZED BY SHIPMENT SUBJECT TO CONDITIONS ON REVERSE SIDE.. - - TOTAL MADE SUBJECT TO tHEFOLLC G COND!TIONS: A2WVk-RJ" 0: nnem"Onflo stop 6AIns" 1 1 :t i 1 .1 y loin WWOqc was yLf;Pl;c tp'ks afidrrr0, .VA nom lyn 3,5 U We ano eluonclo by wunia n"q n6ndy T. 2: lolvt NaHn P.w 00A C:OMvnv pop; 8;1 WWI all damn dismal s and not or van 000 t i. r;,' a Q ie',sen who xn nave been inwavaunhe i u l,ck tm <' vm -,-,-,fly 4 1 1'- .- . 11, ':� :�' u v "ncx�;Kinnsju. PLY doe acvyxi, ., • • • •- •. ' 1142 Water Tower Road, Ike Park FL 33403 Office:1-877-484-9994 / Fax. 581 44-7102 South East Florida Division Dispatc : 561-844-9994 / Central Florida Division Dispatch: 407-339-5311 "Ibt,';I� it'( 1,� ltiI Ifl�sl�!f! .. Concrete Tested [I Yes No LOT # ,Mer Added at Customers Cylinders Taken " ❑ Yes. 'No _Request �„s- ' - �= easf to full load Comments '" als. to 2/3load gals.. tot/3load 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 was¢ exposed skin areas promptly with water. If any cement powder or CONCRETE WILL REDUCE ITS STRENGTH SURFACE DISCOLORATION. mi#urelgets into eyes, rinse immedlatety and repeatedly with water end•get prompt AND DURABILITY. ANY WATER ADDED IS BATCH TIME I Keep children away tram cement powder and all iresMy mined AT CUSTOMER'S OWN RISK. cmedicalcement cement products products. Load To Job On Job Begin Wash To Plant At Plant -PLANT TICKETN ORDERq TRUGK,# LOAD $RE MCj 'SLUM!f DATE CUSTOMER# SOLDTO P.O.# ._ _ PROJECT4 _ 'DELIVERY ADDRESS -- ZONE#. USE DRIVER INSTRUCTIONS - - TIME DLIE • r ORDERED PRODUCT CODE••r DESCRIPTION • '• ANTITY QUANTITY QUANTITY SIGNATURE , WARNING OR RECEIPT - GONCR , D AGKNOWLEDOEMENT OF HAZARD . o - asc eer one omdeno assumo to Hay Tor any prope Y amage or any -TOTAL annpveywt',as .SUB equip �Jda To9, r any beyond the curb line. TAX S AUTHDRIZED BY _ SHIPMENT SULJC-CT 10E ITIONS.ON REVS S SIDE TOTAL TA OF SUBjECT TO YHEFVLL( IGCOWNW5. ; ; , 1,;y psms www snonn nave been was wd. m 0 J� on- , 0 s Ahmn uneQ CAI Tnif Tnp to osd n cw no: �Q lack, art ;w"n C1 !0 P�n in ully, 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 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 mued 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 mlxturo:9ets into eyes, rinse immediately and repeatedly with water snit get prompt AND DURABILITY. ANY WATER ADDED IS BATCH TIME medical attention. Keep children away from cement powder and all freshly maed AT CUSTOMER'S OWN RISK. cement products. ... � . Load To Job On Job Begin Pour Begin Wash To Plant At Plant PIANT TICKET# ORDER# TRUCK# LOAD'SIZE -�y MI%' SLUMP .DATE CUSTOMER SOLDTO P.O.# PROJECT# DEUVERV ADDRESS AVE ZONE# USE DRIVER r - -,T11 INSTRUCTIONS- _ - - - - - - TIME DUE ORDERED PRODUCT CODE PRODUCT DESCRI ION • • • r` a SIGNATURE WARNING OR AECN. -CONCRETE AND, CKNOWLEDGEMENTOF HAZARD - us"ncr a gmpany willn assume. liability or any property damage or any .SUB -TOTAL equfpm t a e fad; deliveries yend the curb line. TAX AUTHORIZED BY _ SHIPMENT SUBJECT TO C NDITIONS ON REVER. _SIDE. TOTAL -Av �,�,MADE -,-:JSJECTTQ THE "CONDITIONS-. J,- xlr -a rnmnaew Ogyn bon AM"Is Uri cc .10 r. Q nonp 41&,jv !net swuNery, iark_:,eli6 z i:,ptic .Qifvc AIL pf pyr. OW jEO ZIA IWV� I M US LT %et', cc a IT I heni 1), maaerfif stjc� I boo Txnyery 1 on Pov arm a5d4wnwinands ano sufn u, I A, "I Ilavt:s been lcc�--PdedJ'al (I cii;, it shown poi YQ . I I ., I . I - I ;', - - in 7 wI if i ,a4nk, n—: Wns 3 on - ;• i� , G I .� I 550p' JLQ '10 Q,r!& Q N3 AQ I �j A 'Vic; �m i AMFW 1142 Water Tower Road, Lake Park FL 33403 Office:1-877-484-9994 / Fax: 561-84'�.,,'A9,2� South East Florida Division Dispatch: 611;a4-9994 / Central Florida Division Dispatch; 407-339-5311 f1 Concrete Tested ❑ Yes 'E5 LOT # Cylinders Taken. Q Yes. E]rNo Waf& ded at Customer's f Request - - - gals. to full load Comments - gals. to 2/3 load gals. to 1/3 load .br - -- - 111 stonier-s Rep - Water Adde NOT RESPONSIBLE FOR'. WARNINGIRRITATION TO THE. SKIN AND EYES ADDITIONAL WATER ADDED TO THIS - VARIATION IN COLOR OR Cement poymer 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 AT CUSTOMER'S OWN RISK. a0.TCH TIME - - cement products. - - Load To Job On Job I Begin Pour Begin Wash To Plant At Plant - a PLANT TICKET# ORb # .RUCK# LOADSIZE MIX - SLUMP- - DATE 01A. i , r CUSTOMER#' - SOLDTO J. fl-. i71'li �' ill. .tl". P.O.# - I'rl •i;--'Lx PR0.IECT# -. ,. DELIVERY ADDRESS ZONE# USE ` DRIVER INSTRUOTIONS PRODUCT DESCRIPTION U.0'm UNIT PRICE AMOUNT SIGNATURE OR RECEIPT -CONCRETE ANAt:KNOWLEDGEMENi Of HPZARD WARNING' into me oncrete, mpany wl 'no assume is ay or any prope y damage or any SUB -TOTAL u" mentr n e for.for. anx0eUvales beyond the curb Tine: - - ''ti..-✓^" TAX UTMDRU:ED BV SHIPMENT SUBJECTION CONDITIONS ON REVERSE-SID ,. TOTAL I'. •. ""Hi.rnw ...!l r vlf nr - •.:. .... .. s •i:: . _.. �. ...t. SI400IN i.. . c_ N • - ' .. e C �iH.. 1 .'� •,'rC 1 1� ,.,.� l ^I` .�^��!a � i. Tr I 1 . '� 1� �i_ � :�;� i -... ?.�' ._ 1 :1 a; - f Ad 11 42'Water Tower Road, take Park FL 33403 Office:l-877-48."994 / Fax:561-844-7102 South East Florida A7ylsioq Dispatchr561-844-9994, 1 Central Florida Division Dispatch: 407-339-5311 Concrete Tested `. 0 l?gs 0 N5, LOT, # Water Added.. at Customer's Cylinders Taken;: .Q-Yes [�plo Request - d :y' gals. to full load Comments gals. to 2/3 Toad gals. to 113 load _ ' •`l '; I' • r;, Customer's ReP -Water ,dded NOT RESPONSIBLE FOR WARNING IRRITATION TO THE SKIN AND EYES WATER' ADDED TO THIS VARIATION IN COLOR OR Cement potymer or rrmt fy mixed concrete may cause skin injury. Avoid contact with skin and wash exposed skin areas promptly with water. If any cement powder of .ADDITIONAL CONCRETE WILL REDUCE ITS STRENGTH SURFACE DISCOLORATION mixture gets into re,rinse Immediately and repeatedly withwaterand bet prompt medical attention. Keep Fhlldren away from cement powder and all freshly mixed AND DURABILITY. ANY WATER ADDED IS TIME BATCH - cement products. AT CUSTOMER'S OWN RISK. Load To job On Job Begin Pour Begin Wash I To Plant At Plant PLANT TICKET# ORDER# TRUCK# LOAD e1ZE Mix $LUMP :DATE I CUSTOMER#. SOLDTO P.O.# - - PROJECT# _ ., tJELtYEflY ADDRESS - ZONE# -- USE, DRIVER - --- - _.._� INSTRUCTIONS - - _ - - - TIME DUE - •I ORDERED PRODUCT•. •• . • •AMOUNT ANTITY QUANTITY QUANTITY 17 SIGNATURE:OR RECEIPT- CONCRETf AND ACKNOWLEDGEMENT 'OF HAZARD WARNING. asc _ eyer Concrete Company will not assume liability for any property damage of any SUB -TOTAL equipment. damage for any deliveries beyond the curb'. lime. •` TAX - - AUTHORIZED BY - SHIPMENT SUBJECT TO -CONDITIONS ON REVERSE SIDE.. TOTAL. Oka4.: s I,{? I .��, ... .•bJa.l ,ill. kil u,.Tf:i � r y �_._ "� t ... :er!d i o�f'i �,a, :->Vqt1 .;GE,vLdCI. Nit Y 4K.k .1': o .. _. �:n, r - - ..., :.'9�. _'.4• f,c:... F.t.,l^}�i ,Is'" .. -_mil:`.. id _ l ..: .. ,