CF-Cozby Library-LR 940818 (5) 2725 Premix..~treet
J~- P.O. Box 7505 -~-
g Fort Worth. Texas 76111
' 8~7831-318~ U~SPATCH ~ TIME q:~ ~
800 733-3181 METRO
817 -429-5463 ! DEPARTURE
WARRANTIES: Seller's products are warranted to meet agreed-written specifications, if any. and to !ARRIVE ON.jOB
be free from defects in material and workmanship. Seller makes no guarantee of finished work
whatsoever. THE WARRANTY CONTAINED HEREIN IS EXCLUSIVE: NO OTHER GUARANTEES OR ,,,
WARRANTIES ARE EXPRESSED OR IMPLIED. In no event shall Seller be liable for an amount START UNLOADING
exceeding the net purchase price of the product. Claims for shortages must be made at the time of
delivery on the back hereof. Seller's trucks are not permitted to go beyond curb line except on FINISH JNLOADiNG
purchaser's authorization and risk, and Seller will not be responsible for damage within curb or
property line.
LEAVE JOB
CAUTION: Freshly mixed cement, mortar, concrete, grout or lime slurry may cause skin injury. Avoid
contact where possible and wash exposed skin areas promptly with water. If any mixtures get into IARRiVAL PLANT
~. eyes. rinse immediately and repeatedly with water and get prompt medical attention.
~CUSTOMER NAME & ADDRESS CUSTOMER ACCOUNT NO.
DESTINATION COUNTY MA,~SCO NO.
PROJECT NAME OR OTHER~SPECIAL iNSTRUCTIONS PURCHASE CRDE-~ NO
CARRIER IF OTHER THAN BEALL ' DRIVER I TRJCK NO.
TRAILER NO I SEAL NO. ~ RECEIVED IN GOOD CONDITION B¥i~'
'LIME SLURRY ~d~elivered ,Li [] Pick Up ILrl --~
GRAV!TySPECIFIC '/' ~'"-- . "'~ PERCENT ;' %'
DATE I TI'~E 'LOAD NUMBER GALLON D:~Y '-I','DRA=E ~ ( .
LI~ ~ -ONS
' I DRY HYDRATE "- ' .
'--~ , .~:: "'[ '.t' '"'t I - Z~'2 PER GALLON !CU'ZULATIVE TONS T~IS CRDER
WEIGHT CAUTION: DUE TO T,E .A~URE O. THE .RODUCT SOMS O~ :HE .~ODUCT I ~/(/ t ~
MAY REMAIN N THE TANK ~OLLOWING DISTRIBUTION CUSTOMER MAY REMOVE ~ . ·
ANY MATERIAL LEFT IN THE TANK AFTER INITIA~ DISTRIBUTICN. BUT iF NOT PRODUC-CCDE
REMOVED. IT AGREES TO PAY FOR THE ENTIRE QUANTITY INDICATED AND MADE
THIS LIMff COMPDES WITH SHD S AS/M S~ECIFIC~/IO~ ~c.~qs:
· .-:,-: .~ ...... " AS TYPE CLASS LIME SLURRY....~5'~ ~/.
.-." ,' - -.. ? ,: [ [ OTHER PRODUCT DESCRIPTION: _
~ CERT:,FIED PUB-'C WEIGHER 013463
k_X TICKET NUMBER