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Cash', Check'#/Auth Code Signature4f Dnver Receiving Cash: Cash1ecev0d Total COD Order Amount twCollect t
Without Standby Charges:
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Comments:
WATER ADDED: GAL YARD'S IN DRUM
WHEN ADDED; •,
a C { i, _t_} f SIGNATURE
1Fil�lR$UIVC:/ OSSE,IAT OUVNER.S/AGNT'S REQUEST:
SIGNATURE
LI{LOAD WAS TESTED BY;;
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Notice: Our drivers will make every effort to place materials where the customer designates;but-the `S0.ECIALTERMS: Any water added Is at customers own risk..If water is 0dded.on.job,concrete strength,
Company assumes no responsibility for damages inside curb or property line. Customer agrees to the iq'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...rjay:,be.hazardous to your,safety and:health. Please refer to the backside of this Eicket-for important
control after delivery,this Company will not accept any responsibility for the finished results. No credit for' safety handling Information,and to the material safety data sheets for additional information.
resumed concrete.. viyers exceptiongprLd c{aims•shal}•be deemed waived unless.made tows in writing AUTHORIZED'SIGNATURE: L j 1Ca r :�)j;r
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within one business day atikthe reCei t'Cf r`;tenalst,`
98UNIVERSAL
INVOICE