ST0004-LR010626 (2) E3 E.e 2725 Premier Street
P.O. Box 7505
,, ~ Fort Worth, Texas 76111.
l~ ' 817831-3101 DISPATCHMETRO ~ TIME
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 UNLOADING
pumhaser'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 cuase skin injury. Avoid
contact where possible and wash exposed skin areas promptly with water. If any mixtures get into ARRIVAL PLANT
eyes, rinse immediately and repeatedly with water and get prompt medical attention.
& ADDRESS CUSTOMER ACCOUNT NO.
DESTINATION COUNTY J MAPSCO NO.
/
PROJECT NAME OR OTHER SPECIAL INSTRUCTIONS PRUCHASE ORDER NO.
) (N) 6-.~ (W) FREEP(JR'[ PK, WY.
I DRIVE TRUCK NO.
CARRIER IF OTHER THAN BEALL R
%LL L. IfqE SERVICES J,~C~J[~LF~tq j,:~LBER'I
5165
i--I Customer (LP)
SLURRY ~:] Delivered (L) ~-~ Pick Up
SPECIFIC 3.. ~?.2
GRAVITY PERCENT.
WEIGHT PER
DATE TI I LOAD NUMBER GALLON DRY HYDRATE
LIME TONS
~,~ c. ~3 .~ 1_ DRY HYDRATE
I
PER GALLON CUMULATIVE TONS THIS ORDER
WEIGHT CAUTION: DUE TO THE NATURE OF THE PRODUCT SOME OF THE PRODUCT
MAY REMAIN IN THE TANK FOLLOWING DISTRIBUTION. CUSTOMER MAY REMOVE
ANY MATERIAL LEFT IN THE TANK AFTER INITIAL DISTRIBUTION, BUT IF NOT PRODUCT CODE
?'~!~t',~'~~1 f b ~'~l'~ o s ~ REMOVED, IT AGREES TO PAY FOR THE ENTIRE QUANTITY INDICATED AND MADE
AVAILABLE FOR DELIVERY.
~;;~80~ ] ~ 'l a ~.r. ~ THIS LIME C .~(~. PLIES WITH SHD~& ASTM SPECIFICATION TONS:
AS TYPE CLASS LIME SLURRY'
~'7~oo ~ h N,~ ~ r'-] OTHER PRODUCT DESCRIPTION:
07 9
X TICKET NUMBER