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SUPERMIX
"The On Time Concrete Company" j9 `
CENTRAL CONCRETE SUPERMIX, INC. !
CONCRETE DISPATCHERS: // ? L
South Dispatch: (305)264-7101 ` b J
North Dispatch: (561)826-9364 'C—USTOMERNO.1 DELIVERY TICKET DATE
Block Dispatch: (305)805-3226
WWW.SUPERMIX.COM i;;'f)l; 1 '; !. ':1:?','r';_.' } '• ? I ? y.' .! t
MAIN OFFICE: 4300 S.W. 74th Ave. • Miami, FL 33155
PHONE: (305) 262-3250 • FAX: (305) 267-0698
SERVING MIAMI-DADE, BROWARD, PALM BEACH, MARTIN & ST. LUCIE COUNTIES
SOLD TO DELIVERY ADDRESS
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QUANTITY ITEM DESCRIPTION UNIT PRICE EXTENSION
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MINUTES _ ALLOWABLE TIME' — PER MINUTE —
EXTRA UNLOADING TIME CHARGE X$1.00
*6 MINUTES PER CU. YD. ALLOWED SHORT LOAD CHARGE
SLUMP AMOUNT ; kd Lad9llE1 .
THIS DELIVERY TOTAL CU. YDS.
OF YOUR ORDER FOR CU. YDS. TAX
CUSTOMER OR HIS AGENTASSUMES FULL RESPONSIBILITY FOR STRENGTH AND/OR
PERFORMANCE OF ANY CONCRETE PLACED ABOVE'DESIGN SLUMP OR WHEN •
WATER IS ADDED. WATER ADDED ❑ YES Ell/NO GLS.
TIME ARRIVED ON JOB STARTED UNLOADING FINISHED UNLOADING LEAVING THIS JOB TOTAL TIME
SUBJECT TO THE TERMS, CONDITIONS AND `jCAUTION"WARNING LISTED ON BOTH THE
FRONT AND BACK OF THIS TICKET.
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TRUCK DRIVER I acknowledge that I have received and accepted the'�materials listed on this ticket. I
understand and agree to the-terms on both the fr fit>and back of this ticket.
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RECEIVED BY: X +� t
CONTROL 21 LOADING POINTS AT 16 LOCATIONS TO SERVE YOU BETTER
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N MIAMI DOWNTOWN MIAMI•WEST MIAMI•AIRPORT•OPA-LOCKA•MEDLEY•PERRINE•PEMBROKE PINES
2.
Q d DEERFIELD•BOCA RATON•RIVIERA BEACH•STUART•W.BROWARD•FT.PIERCE•E.BROWARD•DELRAY ( (
.3'k. PRODUCERS AND SUPPLIERS OF QUALITY READY MIXED CONCRETE AND CONCRETE BLOCKNRMCA
DELIVERY COPY ��.�