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Due On Job: Slump: Truck Number. Driver Number.. Driver Name: End Use:
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Casb. Check i I Auth Code: 5ignature'of DriverReceiying'Gash: Cash ReceiYed: Fatal. Order to Cdllect.
.Check
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Comments;
.WATERADD D: GAL YARDS.IN DRUM:
WHEN ADDED.
j -!� SIGNATURE
CURB_LI E_CR03SE T OWNER'S/ NT'S REQUEST:
RNC—F �: /7�{t_ T's.1 1r 0ri€�=`I.... �r`��'j.�_ (�.(�. )f SIGNATURE
Y�IY i��• .L 1"�L -FLAA_ L-. `I1.1 .�7 t-!ri' J :.I �.�'
❑I�SA \ T D BY:
Notice:, Our drivers will make every effort.to place materials wherecustomer'designates,but-the SPE .L'TERMS: Any water added is at customers own risk. If water is dded on job,concrete strength'
Company assumes no responsibility for damages inside curb or property line. Customer agrees to the is no longer guaranteed. WARNING: J duet may cause skin and/ore irritation. CAUTION: Material
terms of sale and delivery an accepts concrete as is. Due to Important factors which are out of our may be hazardous to your s fetyhealth. Please refer to the backside of this ticket for important.
control after delivery,this Company will not accept any responsibility for the finished results. Ne credit for safety handling info=n 6d dtht71f data sheets for additional information.
returned,concrete, Buyers exceptions and claims shall be deemed waived'unless made to us in'writing AUTHORIZED SIGNATOR
within one business day after a receipt of materials.
68UNIVERSAL i ,:R E;I f ;1
INVOICE
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