ST0501-SP120912 DISPATCH: / DELIVERY TIMES
-I M DFW Division LEAVE PLANT
J Lattimore Materials Corp. (972)436-1527
simumimmuenat P. O. Box 2469 San'Atljonio Division ARRIVE JOB
q� � n ".:4 Addison TX 75001_2469 (830}60965 : :r
(972) 221-4646 HoustonRIviston TIME OFF.JOB
-(281) 210-2700
ALL BILLS ARE DUE AND PAYABLE IN ADDISON,OALLASCOUNTY,TX ' RETURN TO PLANT '
This concrete will meet the btrength noted on the delivery ticketlf properly placed,cured,sampled'and tested in orERince with the
recommended practice of ASTM and ACC Due to factors beyond our control,this company will not accept any re f3Qn pility for the
finished results or for the effect of climatic conditions.Drivers are not permitted to add water to the mix in excess of:the maximum slump tWATER ADDED AT CUSTOMER'S REQUEST.
nor to go beyond the curb line,except upon the authorization of the customer and his acceptance of risk for any loss or damage.
DATE} . +"'` TIME ORDER# TRUCK# DRIVER PLANT TICKET# i
� { GALLONS f / /
1 i 3c:'I:)a.C.' f' i.,3I..,I',1 '381.: 7(1'3 'I ei. ..t 77'((1':1•.3
CYLINDERS TAKEN? YES NO
CUSTOMER# CUSTOMER NAME CONTRACT# P.O.# JOB#
:5,. .ii??:S i :I:`:;G::0 ! tl'.1111.1\1I:i ('(''t'11.1f11''11, 1.1.1t' ...MOP1.ifii'.1
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DELIVERY ADDRESS CITY MAPSCO# INTENDED USE ORDERED BY
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INSTRUCTIONS MAXIMUM SLUMP
LOAD CUMULATIVE QUANTITY f;8484.
QUANTITY TOTAL ORDERED PROpUCT DESCRIPTION *-UNIT PRICE AMOUNT
'ii,rf??l :l.!4 t 1.8..44 l li,::'<..P., FL „(1:$ 441., 7F t3; „
1.., f<JI.1 FUEL 1::I'iii (:)i ,
1.,. (t)f-) rift)"R(:) EVE:
i: / r ---(t/' p /—,/ .
By signing below,I acknowledge that,on behalf of the Purchaser,I have read and r COD USE ONLY
understood the Terms and Conditions of Sale which appear on the following page(s). ' .i
Moreover,I acknowledge that the attached s and Conditions of Sale contain-i j
disclaimer of warranties,limitation of lermbilities,and indemnity provisions DRIVER'S LICENSE# '
which limit the Purchaser's legal remedies and impose on the Purchaser an obligation
SUBTOTAL
to save and hold harmless LMC.
STATE
TAX
Purchaser-Authorized Signature - y
CHECK#
SEE REVERSE SIDE FOR TERMS AND CONDITIONS OF TICKET TOTAL
SALWINCLUDING
INDEMN TY PRO ISIONS.AIMER OF WARRANTIES AND AMOUNT PAID CONTROL NO: 307964
CAUTION:Freshly mixed cement,mortar,concrete or grout may cause skin injury.Avoid contact with eyes where possible and wash 03
exposed skin areas promptly with water. If any cement mixture gets into eyes,rinse with water and get prompt medical attention.
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DISPATCH: 'DELIVERY TIMES
I D7) Division
152 LEAVE PLANT M C Lattimore Materials Corp. (972)436 1527
taliMEMMININ P. 0. Box 2469 San Antonio Division ARRIVE JOB
Addison, TX 75001-2469 (830) 609-1859
(972) 221-4646 Houston Division TIME OFF JOB
(281) 210-2700
ALL BILLS ARE DUE AND PAYABLE IN ADDISON,DALLAS COUNTY,TX RETURN TO PLANT
This concrete will meet the strength noted on the delivery ticket if properly placed,cured,sampled and tested in accordance with the
recommended practice of ASTM and ACt.Due to factors beyond our control,this company will not accept any responsibility for the
finished results or for the effect of climatic conditions.Drivers arwnot permitted to add water to the mix in excess of*maximum slump WATER ADDED AT CUSTOMER'S REQUEST.
nor to go beyond the curb line,except upon the authorization of the customer and his acceptance of risk for any loss ortdamage.
DATI ,:k i_,:,j - TIME - - - ORDER# . - TRUCK# DRIVER PLANT TICKET# GALLONS / /
,...
1.(.?`7+ 1.;'Li:: „r'.':',1'I i st.:? rGr);i Gq...(lfd f I""1 1"!,_. t:.i....:.), (.l,Cl.
- CYLINDERS TAKEN? YES NO
CUSTOMER# CUSTOMER NAME CONTRACT# P.O.# JOB#
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DELIVERY ADDRESS CITY MAPSCO# INTENDED USE ORDERED BY !,
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INSTRUCTIONS ( - MAXIMUM SLUMP i
LOAD CUMULATIVE QUANTITY PRODUCT DESCRIPTION UNIT PRICE AMOUNT s;
QUANTITY TOT ORDERED
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By signing b=ow,I I y owledge that,o behalf of t e Porch. r -'read and COD USE ONLY•un. rstood t .Te nd Conditions of 1 ale which a pear on the tng page(s). ;•
lover,I ckno ' •ge that the at• erir s d conditions o :le contain
di aimer f war ties,limt , of Imbilitiet,an. ,• ,„visions DRIVER'S LICENSE# ,
wh.. limit t e Pure ` is legal .ies and impos'on the Pure .. • ob _' on SUBTOTAL
i to, e and old ha liss L.MC.
STATE TAX
11l�..— .
Purch., thoriie.L attire CHECK# •
I SEE ERSE . DE FOR TERMS AND CONDITIONS OF TICKET TOTAL
SALE,INCLUD 1 G DISCLAIMER OF WARRANTIES AND AMOUNT PAID CONTROL NO: 307960
INDEMNITY PRwVISIONS,
CAUTION:Freshly mixed cement,mortar,concrete or grout may cause skin injury.Avoid contact with eyes where possible and wash 03
exposed skin areas promptly with.water.If any cement mixture gets into eyes,rinse with water and get prompt medical attention.
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