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"The On Time Cogcrete.Company'O, The On Time Cohcrete Company"ENTRAL CONCRETE•5 PERMIX,�INC, u "` CENTRAL CONCRETE SUPERMM IN
CONCRETE DISPATCHERSd = ? 1111[�Ild IIIf � 'siY:;.. U CONCRETE DISPATCHERS: �N17�1 �isi i.
South Dispatch: (305)264-7101 I - South Dispatch: (305)2647101
North Dispatch: (561)826.9364 >CUSTOMER'NO:•-bELIVEgY.McKEiT c: ,>, °DATE.,.N:...,: North Dispatch: (561)826-9364 :CUSTOMER�NO2 -�•DEUVERY.SC KET ..-.::._,
Block Dispatch; (305)805.3226 Black Dispatch: (305)805-3226
WWW.SUPERMIX.COM LASHMARK 14•=2146E•.:;` _ 1;1::.'.-S:i:•i WWW.SUPERMIX.COM
MAIN OFFICE:4300 S.W.74th Ave.•Miami,FL 33155 MAIN OFFICE:4300 S.W.74th Ave.•Miami,FL 33155 LASHMARK 14-1146631 10/23/15
PHONE:(305)262-3250•FAX:(305)267-0698 PHONE:(305)262-3250•FAX:(305)267-0698
SERVING MIAMI-DADE, BROWARD, PALM BEACH, MARTIN&ST. LUCIE COUNTIES SERVING MIAMI-DADE,BROWARD, PALM BEACH, MARTIN&ST.LUCIE COUNTIES
..._.. _...... ..,...... ......... ,•DELII(ERYADDRESS°�
LpfiFIL_EY MARK-,INC 1197 NETTLES.-BLVD. JENSEN.BEACH L.ASHLEY MARK INC. 2197 NETTLES BLVD JENSEN. BEACH
1562 NE.,MAUREEN CT VARIOUS JOBS- 1562 NE MAUREEN CT VARIOUS JOBS
JENSEN BEACH ,'FL 34957' PO #:MARK JENSEN BEACH
t ,F=1_ :i4cJ57 DiT .t)t rgFYF{
ORDER# 80 PROJECT #t 10690 ORDER# 80 PROJECT #: 40690
MRP PAGE. CBL i7 LOT/BLOCK: ASits 't': MAP:PAGE CBL3'7 'LOT/BLOCK.t A8403547
?1�CTIONa:"NETTLES:ISLAND 6 YARD LOADS INSTRUCTIONS: 'NETTLES ISLAND 6"_-YARD'LOADS
o)a
•;:�u rY
ANTI ti•n ,...'ITEM:•••° .:^ -:,°•>._,DESCRIPTION.: � "^ ,..Star" -
__... ;ITEM'
`�, -:...
c,rn-h1
6.00 309014 :000 RE_Gi.li.P+o /.6 i :I.I-;i.. t y„ 2.00 :-3Q9014:..;- 3000 f'REGULAR 40..SLAG Q,y,.• .
P/® 02—
FUEL SURFUEL .SUR
`hIV FEE ENV FEE
MINUTES ALLOWABLETIME• PER MIN E MINUTES ALLOWABLEMME• PER MINUTE
EXTRA UNLOADING TIME CHARGE » _ _ X$1 = EXTRA UNLOADING TIME CHARGE y - o X$1.00
'6 MINUTES PER CU.YD. ALLOWED SHORT LOAD CHARGE'ly '6 MINUTES PER CU.YD. ALLOWED SHORT LOAD CHARGE»
SLUMP _1S.00 SLUMP
AMOUNT AMOUNT
4+/-1 THIS DELIVERY TOTAL CU.YDS. 4+1_1 THIS DELIVERY TOTAL CU.YDS.
in 20..00 in
OF YOUR ORDER FOR CU.YDS. TAX OF YOUR ORDER FOR CU.YDS. TAX
CUSTOMER OR HIS AGENT ASSUMES FULL RESPONSIBILITY FOR STRENGTH ANDIORF T•"^'(`"""K t ,S' CUSTOMER OR HIS AGENTASSUMES FULL RESPONSIBILITY FOR STRENGTH AND/OR •�. .T,� se`+f•`=ey,s+k�i+•-' °• ��'
WATER IS ADDED.PERFO MANCE F WA ERADDED ANY CONCRETE PEES ABOVELACED ❑NO
DESIGN S U�1P OR WHF13 0 xy- [t .15`r 1„�fi � PERFORMANCE OF.ANY CONCRETE PLACED ABOVE DESIGN SLUMP OR WHEN ♦ .'•��y' �"�'^*-"1" } "• 4
� GLS. WATER
ISADDED. WATERADDED ES O NOwr ,µ,
I
ARIVED,ON'JOB'!.1GSTARTEDUNLOADING *•FINISHEL2:UNLOADING"t:*_LEANT 6, 'JO I "' - E:ApRIVED'U JOY A E "
N.. .__ ,...B�..i:.,v.. OT/ghi IM P.,> :TIM N.__., ,ST Ii1 bUNLOADWG--.:;FWISHEIYUNCOADINO_.. .:_L AVINGTHLS.dOEt
Ll o /% �S /�S,S
SUBJECT TO THE TERMS,CONDITIONS AND'CAUTION"WARNINGILISTED ON BOTHTHE SUBJECTTOTHETERMS,CONDITIONS AND'CAUTION"WARNING LISTED ON BOTHTHE
FRONT AND BACK OF THIS TICKET. FRONT AND BACK OF THIS TICKET.
TgUCK.r; DRIVER
- I acknowledge that I have received and accepted the materials listed on this ticket.I %�.:.,..TI#UGIC_.. ".•;,DRIVE$ _ :. I acknowledge that I have received and accepted the materials listed on this ticket.I
f606 JOLLY JASON'
understand and agree to the terms on both the front and back of this ticket. 1606 JOLLY'JASON understand and agree to the terms on both the front and back of this ticket.
.:
RECEIVED BY: X RECEIVED BY: X
n::CONTRQIc:;�.!' 21 LOADING POINTS AT 16 LOCATIONS TO SERVE YOU BETTER g'. ;CONTR'Oti';:': 21 LOADING POINTS AT 16 LOCATIONS TO SERVE YOU BETTER
MIAMI•DOWMOWN MIAMI•WEST MIAMI-AIRPORT•ORA-LOCKA-MEDLEY•PERRINE•PEMBROKE PINES o�rAe4, MIAMI•DOWNTOWN MIAMI•WEST MIAMI•AIRPORT•OPA•LOCKA•MEDLEY•PERRINE•PEMBROKE PINES (JJr(
1x4•-Z 9 Z 5 9 DEERFIELD•BOCA RATON•RIVIERA BEACH•STUART•W.BROWARD•FT;PIERCE•E.13ROWARD•DELRAY '4 114- 19760 DEERFIELD•BOCA RATON•RIVIERA BEACH•STUART•W.BROWARD•FT.PIERCE•E.BROWARD•DEIRAY •�Tll�(
PRODUCERS AND SUPPLIERS OF QUALITY READY MIXED CONCRETE AND CONCRETE BLOCK NHMCa PRODUCERS AND SUPPLIERS OF QUALITY READY MIXED CONCRETE AND CONCRETE BLOCK NRMCA
OFFICE COPY ,.. . OFFICE COPY -a
St Liicie County yhsj�. -Aio s
2300 Niru Avenue
Ft herees L 34982
(772)4s2-2172
CERTMCATE OF TERMTE TREATMENT
CONSTRUCTION SOIL TREA'TM,N''C ;
PERMIT#/S"/ oa �JOB ADDPJ:Ss11
WELDER
PEST CONTROL CONTRACTOR
PEST CONTROL LICENISE0we.,the undersigned,hereby,certify that we have pretreated the above-described constructnon for
subterrmem tex-nmaties in acenr ce nth the sa—m-idards f►a the.National Pest Control Association.-
Square feet of area treated: Chemie used: '
Percentage of solution: -� Total gallons used: �Zn -
Date of treatment: / IE-3 „ / Time of
❑ Footing
- ❑ I st Treament p'BC104.2.6 Cew&ate[rf rotecdve Treatmentlor preren&n of termites_
❑ Re freat A weather reswam jobsue posting board shall be provided to receive
dupikare Treatment CerriOmes as each required prorective treatment is
E3 Blah completed,providing a copy for the person the permit is issued to and
i ist Treatment another copy for the building permit files. The Treatment Certificate shall
provide rhe product used:xWenuty of the applicator,tune and date ofthe
the
❑ RC.treat trearmenm site location,area treated chemical recd percent concentration
El Driveway and number of gallons uset�,' to establish s vercfiable record o-fprotee ve
t- treatment lfthe roil chemical bamermethodfortermae preventfon is used.
tJ 1St Ti[ieatmeAt final�cteriarxreas neer shaft be completed pnor ry ft al building approvaL
❑ R treat S#Lucie County requires for the Gnal inc*'�n-for C0j a Per=nant
❑ -PO IS Sticker to be placed on the electrical panel box cover,listing all the
❑ 1s Treatment
treaftwxts an8 slates olapplication&
-
❑
Re-treat
❑ Cather
1st Txeatmmt
❑
Re-treat s-
❑ Perimeter for Final Inspection -
Siguatmm of exienninator
NOTE.-
There
OTE:There trust be a completedform for each required treatment or re-tre+atatient-tial fhis form Must he on
the job site to be picked up by the anspector at three of ewh_ inspeefien or th a scheduled hispectfan will
fait laud are iweefion fee dwr,�ed
Rewind 6I73AM dmg