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St 7.t1' 1 `' F�. 3�'-"k' ,aE.,' ''' o ..� '•�rY,{ i apyyp Py - + y �ykp+J+P 'ry-C'pj:tk �, C , F.s �• 1 r E .�36 ,a r�`1.r'3.Ar ` Cash Ctragii JAY Auth Cddg+ r Signatyfo o�P>r{ateCei�hmg Cath: ' u 5 OaStYcelvd s+ r,Tota rGOD Ordor Amount to collect`' Chargas Check` tflt�ititSYa Charge �. t c ..5'3.14:. <,� " ✓i #.i...4 :;tv_f4`," Comments . s '-> V�ATEF�ADpBD QAL .` YARDSINDRUM .it WHEN ADDED: SIGNATURE CURB LIGRDSSD AT OIIVNElsSIA�7EP1T'S REQUEST: i 'INC; ;r ,l_. PQNATURE F ❑LQAb1TIRAS Tl;SI` BY• Notice: Our drivers will make every effort to place materials where the customer designates but'4h0 SPECIAL TERMS ti.Anyivater added at customers own risk;.If water is added on Job concreteskength Company assumes'no responsibility for,damages inside curb or propertyline. Customer agrees to that:is rib longer guarani{fed. WARNING: Product may cause skin and/or eye irritation CAUFIQN. Material terms of sale and.delivery and accepts concrete as is. Due to important factors which are out of aurq may be hazardous:`torxour safety and.hRaltthh Tease-ref r to:Me backside of this tic-A"' important control after delivery,this Company will,not accept any responsibility for the finished results. No craditfor safety handling•infdrmation,and,to tha$iafetial.safety datasheets for additional Information' retumed concrete. Buyersexceptions and claims shall be deemed waived uniessopde tt�us in writing AUTHORIZED SIGNATURE:'` / r within one business day after the receipt of materials. © r •� 68UNIVERSAL CUSTOMER CEMEX - - �= "fit.. i •1 :�;f s '+,""•, .,u -.{t Y --.a _ v L`'uk: ,+ lw'w.: -4 c s .f e. 5 ;., r� ...*.c - k" y 'arc;:. ,>!.•„4-y :_��'°� P.t;�.nt , �4 n �egtlt Ldadtri~q :�,�. �To Jof��. �` F�"�v��Jo��;�x., �.eta itni�ar{x'�i,�"-F>#[it��k►1� ac! ��u� Leave�oqi�eurF��i�nt "sa. .a3x..._.rv.JS.-..::...s'. >„„5.t„ .....>,._ ,.:.,. s.k__.�:+ .. �:� a..., s-..i.G .� �h._,-.-.:n. ._...U.._'.t;.sx Y... _.. u����x.s,.4. .3_.s ..,iiti� •..5...-Kn x SGS;] Custgmer.Cgde: Custo Customer NaR1Q 9 t t meOrder r Job Number.. rCode/.Date: 111}t It 5.. Ir •"' �i,.�r:�lj:s; ProedCCodeb �t,` Pm/eot,Namo r c„ 1'6, .4P_oebtPONumbee4 ° ,:CSrde PO tlu ber `. `' z t :s"` ir4r1_; cl'{ irs. $. .+.ti•t3tx .s....lJ, ,s J" i'f :-'..i. S °., "" ..�• Y .}�"'f. .x 0.fi.�}K 3 x. _'est 1 'i,n Y7 ^ 4 f' - y f -i- cJ 4 < Teket Date Delivery;;Address:.• Map Page::, Map/Row/Column. ,ry°'*. +t fi"�*^t 4e'h1 '". y,,r tir'' &p 1 :. k� y... v. '. (I S f '.r`£•L 3:x r:'. I of r0trlfVe 1nstnretioms: r �x�� �x s r ;;;�tvi ':, 'zr �'� w`�v� t•;�, #r _� �t� :�� �' ���'� trrrr��Im i was UlSpatcher� si � ' p '3fL TiZ'}4d 3 JD+ lj'v t"� �f ( ✓E r< ssr�. a 7� S� �x �5 C)f-tsl Y .'u+,aY..-•. 3" Ticket Number. 41a r2 r. y§"�ar'Gc > 5#:` 1 't .,,)'•o..7 ,; n n W��` \: t Y s 4 4 � 1 t Y'..a�K�z' k�s, '�r£r���•��y ' E x''�,�:tt r tiS �Y kis l 7 R } ,��.�s•t t` , f'Cr 4 t;kd �N 5 r���•t �`�!d �� - Due On Job: Slurtp Truck Number. Driver Number: Driver Name: End Use: LOAD' CUMULATIVE ORDERED TERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT QUANTITY QUANTITY QUANTITY :. ;:• a-}�.i«'x'l..: s s=,y�ta�"a:„ - .�t t s- s� 7.j ... { t✓ �., Z, %F ,y+x T'4 °; )�dxi ."b.,." }� �' +• v4'?? ;: � t.s i 5�'y..z• 43`ssr r 's ir•F"'�-�, l.' } i1 .r�.t to*�?� �r z •, f r a�� r �" �f i � •` + r .. 1. ,`�-t "rG a'3h,.��,� .3,-#�'`� �`,S ��1 t ,-�u 1 1:.t`. ��,��` � !' r � - S f� f'^'rs -�a sy,`�' u-w�s'."4-• S 1'r ggrs., f`v".tta•,•y r�+.i�' rF�`'Cf ti F �''! tai 5'i• F #>� A d54uxTy-tai )s. ti "c _ b¢ x. *pf .s' s 'g 7 { a '• . ',:W4ii ,Q,�: I4� T: ',iA 3� .��.. �'tz `s,,.X`A .�•r }a' xs lil" \ -Iti rss}... HA21i 35; `' tater L y� . fly K. E~-r,'tyss✓aa .: to `i-.„ i i ''.' .. .. X< �' .s - .r ie: *.r fy, 3 CasFi. Cheok#/Auth Code: Signature of Dnver Recewfng Ca$h:. Cash'Recerved Total COD Order Amount to Collect. .'WitbduhStandby Charges: Check ' ! .. .Chargg. � �• • .Comments:.. _ - WATER ADDED: GAL YARDS IN DRUM: WHEN ADDED. SIGNATURE -U R ,r RQSSiaAT-0,VVVNER'S/AGEN T'S REQUEST. r. I .. SIGNATURE :t d L3 LOAD tikS TESTED BY: Notice: Our drivers will'make every effort to place materials where the customer designates,but the SPECIAL TERMS: Any water added is at customers own risk.:If water is added on job,concrete strength Company assumes no responsibility for damages inside curb or property line. Customer,agrees to the is no longer guaranteed. WARNING: Product may cause skin and/or eye irritation. CAUTION: Material terms of sale and delivery and accepts concrete as is. Due to important factors which are out of our may be hazardous to your safety and health. Please refer to the backside of this ticket for important control after delivery,this Company will not accept any responsibility for the finished results. No credit for eafet•tiandling information;agpditt the:material-safety'data sheets for additional information. returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing 'A TF�OMtIZED SIGNATURE: ' w thin'ene business day after the receipt of materials. ? ` 68UNIVERSAL CUSTOMER