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• CERTIFICATE OF pUALfiY
We guarantee that THIS MATERIAL will E�UAL QR EXCEED THE QUALITY ORDERED,provided product is ordered and placed within the criteria of
LA FA R G E �he applicable specification and tested in accordance with American Society for Testing and Materials Standards.
1. Concrete is furnished according to Purchaser's specifications and water is added at job site only at Purchaser's request.
2. Unloading time in excess is subject to additional charge.
N O RTH A M E R I CA 3. Material prices include loading and weighing F.O.B.our plant but may not include any applicable sales tax.Haul rates will be quoted for LOAD TIME
information only.The haul prices charged will be those in effect at the time ot the shipment unless specific commitments are made in advance.
DELIVERY ACCESS �
Purchaser is responsible to provide suitable approaches to point of delivery.
Co n st ruct i o n M ate ri a l s Contractor or owner will be responsible for providing a proper wash area after the placement and will not hold Latarge responsible for debris;natural or B
man-made,on the access roadway if delivery is required inside curb line. J � r 1
Purchaser or his authorized representative accepts receipt oi this load of material,confirms time of arrival,begin unload and finish times,and has � � �`
instructed the dnver to add water as tollows: BEGIN r
Yds. Gals. Yds. Gals. Yds. Gals. �
TEST RESUITS Additional water added to croncrete will reduce its strength. Yds. Gals.
NOTICE:A FEE OF$20.00 WILL BE CHAFtGED ON ALL RETURNED CHECKS.
Temp Time Interest will be charged on past due accounts. � FINISH
%Air SLP y,i s EsC Slump:______ /_`� � �
LAB Purchaser's Signature_-" �'ti;%'L CI�� � i
Driver Signature LEAVE
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CERTIFICATE OF OUALITY G� �---�
We guarantee that THIS MATERIAL will EQUAL OR EXCEED THE�UALITY ORDERED,provided product is ordered and placed within the criteria oi
LA FA R G E the applicable specification and tested in accordance with American Society for Testing and Materials Standards.
1. Concrete is fumished according to Purchaser's specifications and water is added at job site only at Purchaser's request.
2. Unloading time in excess is subject to additional charge.
N O RT H A M E R I CA 3. Material prices include loading and weighing F.O.B our plant but may not include any applicable sales tax.Haul rates will be quoted for LOAD TIME
information only.The haul prices charged will be those in effect at the time o(the shipment unless specific commitments are made in advance.
DELIVERY ACCESS
p, Purchaser is responsible to provide suitable approaches to point of delivery.
Co n structi o n M ate ri a l s Contractoi or owner will be responsible for providing a proper wash area after the placement and will not hold Lafarge responsible for debris;natural or ����B A
man-made,on the access roadway if delivery is required inside curb line. �°�;
Purchaser or his authorized representativg accepts receipt of this load of material,confirms time of ar�va�begin upload and finish times "n �has `
instructed the driver to add r ows: / � �y ` BEGIN
Yds. Gals. Yds. Gals�''�'�_Yds. Gals--�"r% Yds. als. '�r
TEST RESULTS
Additional water added to c ete will reduce its strength. � �j C�,
, NOTICE:A FEE OF 520.00 WILL BE CHARGED ON ALL RETURNED CHECKS. FINISH
Temp Time Interest will be charged on past due a�unts. > Est.Slump: w�"} �T
%Air + SLP �':.-.,,_ �,Y/1 ,-�°'r - ` �
Purchaser's Signature J LEAVE
LAB ; .
Driver Signature '
LOCATION TRUCK CODE TARE WT. GROSS WT. HAULER CODE USAGE ARRIVE
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DATE ORDER CODE MAP PAGE ZONE CODE PREV.TRUCK# SCHD ARVL "TICKET# MIN LW`.� :'� �..r'
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CERTIFICATE OF�UALfTY
We guarantee that THIS MATERIAL will E�UAL OR EXCEED THE QUALITY ORDERED,provided product is ordered and placed within the criteria oi
LA FA R G E the applicable specrfication and tested in accordance with American Society for Testing and Materials Standards.
1. Concrete is fumished according to Purchaser's specifications and water is added at job site only at Purchaser's request.
2. Unloading time in excess is subject to additional charge.
N O RT H A M E R I CA 3. Material prices include loading and weighing F.O.B.pur plant but may not include any applicable sales tax.Haul rates will be quoted for LOAD TIME
information only.The haul prices charged will be those in effect at the time of the shipment unless specific commitments are made in advance.
DELIVERY ACCESS .
Purchaser is responsible to provide suitable approaches to point of delivery. ON OB �
Co n stru cti o n M ate r i a l s Contracror or owner will be responsible for providing a proper wash area after the placement and will not hold Lafarge responslble for debris;natural or
man-made,on the access roadway if delivery is required inside curb line. '
Purchaser or his authorized representative accepts receipt of this load of material,confirms time of arrival,begin unload and finish times,and has gEGIN
, instructed the driver to add water as follows:
Yds. Gals. Yds. Gals. Yds. Gals. Yds. Gals.
TEST RESULTS Additional water added to concrete will reduce its strength.
NOTICE:A FEE OF$20.00 WILL BE CHARGED ON ALL RETURNED CHECKS. FINISH
i Temp Tlme Interest will be charged on past due accounts. Est Slump:._ _
,-�
�/A�� s�P Purchaser's Signature � -- --.��--�-�' LEAVE
LAB
Driver Signature
LOCATION TRUCK CODE TARE WT. GROSS WT. HAULER CODE USAGE ARRIVE
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QUANTITY UOM TICKETED ORDERED PRODUCT CODE DESCRIPTION PRICE/UNIT EXTENDED AMOUNT
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DATE ORDER CODE MAP PAGE ZONE CODE PREV.TRUCK# SCHD ARVL TICKET# MIN Ld`" � ''`�``'''�� -
, . _:i :: .:..'�-h �� TAX
CUSTOMER# PROJECT# PURCHASE ORDER# CUSTOMER JOB# TICKET AMT.
DEL.AMT.
LONG. LAT. TIME LOAD# LICENSE# CART.TABLE DRIVER CODE TOTAL TO COLIECT
BEGINNING-ODOMETER-ENDING SP ADDED 4 i J
C ��� ����; � �
CERTIFICATE OF QUALfTY
We guarantee that THIS MATERIAL will EQUAL OR EXCEED THE QUALITY ORDERED,provided product is ordered and placed within the criteria of
LA FA R G E ihe applica�le specification and tested in accordance with American Society for Testing and Materials Slandards.
1. Concrete is furnished according to Purchaser's spec'rfications and water is added at job site only at Purchaser's request.
2. Unloading time in excess is subjecl to additional charge.
N O RTH A M E R 1 CA 3. Material prices include loading and weighing F.O.B.ouf plant but may not include any applicable sales tax.Haul rates will be quoted for LOAD,TIME
intormation only.The haul prices charged will be those in effect at the time ot the shipment unless specific commitments are made in advance.
DELIVERY ACCESS
Purchaser is responsible to provide suitable approaches to point of delivery. ON JOB
Contractor or owner will be responsible for providing a proper wash area after the placement and will not hold Lafarge responsible for debris;natural or .,
Construction Materials man-made,ontheaccessroadwayitdeliveryisrequiredinsidecurbline. '! i-
PuFchaser or h�sauthorized rep sentative accepts receipt of this load oi material,confirtns time of arrival,begin unload and finish times,and has gEGIN
in9t�ycte$thei't�river to add,w r as follows: , •:
Yds� !�Gals. Yds. Gals. Yds. Gals. Yds. Gals. ��' �
Additional walei added in oncrete will reduce its strength. �--''
TEST RESULTS NOTICE:A FEE OF 310.00 WILL BE CHARGED ON ALL RETURNED CHECKS. �� FINI$H
Est Slum � �" '
Temp 11me �' Interest will be charged on past due accounts. P___._____
' �l.%' �i
%Air SLP purchaser's Signatur€
LEAVE y
LAB Driver Signature 't �� t ;
LOCATION TRUCK�ODE TARE Wf. GROSS WT. HAULER CODE USAGE A IVE
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� . - DELIVERY
DELIVERY
DATE ORDER CODE MAP PAGE ZONE CODE PREV.TRUCK# SCHD ARVL TICKET# MIN Ll°S�'�.;! �- ;
� J'.;�`f� `'rt.i;' TAX
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BEGINNING-ODOMETER-ENDING SP ADDED C �,��� � �� �
QERTIFICATE OF�UALITY
We guarantee that THIS MATERIAL will EQUAL OR EXCEED THE QUALITY ORDERED,provided product is ordered and placed within the criteria of
LA FA R G E the applicaWe specitication and tested in accordance with American Sociery for Testing and Materials Standards.
1. Concrefe is fumished according to Purchaser's specifications and water is added at job site only at Purchaser's request.
2, Unloading time in excess is subject to additional charge.
N O RTH A M E R I CA 3. Material prices include loading and weighing F.O.B.our plant but may not include any applicable sales tax.Haul rates will be quoted tor LOAD TIME
information only.The haul prices charged will be those in effect at the time of the shipment unless specific commitments are made in advance.
DELIVERY ACCESS
Purchaser is responsible to provide suitable approaches to point of delivery. ON JOB
Co n st ru cti o n M ate r i a l s Contractor or owner will be responsible for providing a proper wash area after the placement and will not hold Lafarge responsible for debris;natural or
man-made,on the access roadway if delivery is required inside curb line.
Purchaser or his authorized representative accepts receipt of this load ot material,confirms time of arrival,begin unload and finish times,and has gEGIN
instructed the driver to add water as follows:
Yds. Gals. Yds. Gals. Yds. Gals. Yds. Gals.
TEST RESULTS Additional water added to concrete will reduce its strength.
NOTICE:A FEE OF 520.00 WILL BE CHARGED ON ALL RETURNF�CHECKS. FINISH
Temp Tlme Interest will be charged on past due�accounts. � � Est Slump:___
1 �
°/Air SLP purchaser's Signature�� `k '�/ ,p, �� �/�� �� D {'7�'� LEAVE
LAB ` �
Driver Signature �� � ' ��ai � U`�
LOCATION TRUCK CODE TARE WT. GROSS WT. � HAULER CODE USAGE ARRIVE
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QUANTITY UOM TICKETED ORDERED PRODUCT CODE DESCRIPTION PRICE/UNIT EXTENDED AMOUNT
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DATE ORDER CODE MAP PAGE ZONE CODE PREV.TRUCK# SCHD ARVL TICKET# MIN LD`' - `
�;r:�, :�.i;� � �:'�.�:±=1i;f :.'¢���.- � TAX
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,., �:'�t':i_ -',r� DEL.AMT.
' LONG. LAT. TIME LOAD# LICENSE# CART.TABLE DRIVER CODE TOTAL TO COLLECT
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BEGINNING-ODOMETER-ENDWG SP ADDED � � ��� � � �� t4
! �� CERTIFICATE OF QUALITY
We guarantee that THIS MATERIAL will EQUAL OR EXCEED THE�UALITY ORDERED,provided product is ordered and placed wiihin U�e c�iteria of
LA FA R G E the applicable specification and tested in accordance with American Society for Testing and Materials Standards � �
1. Concrete is furnished according to Purchaser's specifications and water is added at job site only at Purchaser's request.
2. Unioading time in excess is subject to additional charge.
N O RTH A M E R I CA 3. Material prices include loading and weighing F.0.6.our plant but may not include any applicable sales tau.Haul rates will be quoted for LOAD TIME
information only.The haul prices charged will be those in effect at the time ot the shipment unless specific commitments are made in advance.
DELIVERY ACCESS
Purchaser is responsible to provide suitable approaches to point of delivery. ON JOB
Co n stru ct i o n M ate ri a l s Contractor or owner will be responsible for providing a proper waah area after the placement and will not hold Lafarge responsible for debris;natural or
man-made,on the access roadway it delivery is required inside curb line.
Purchaser or his authorized representative accepts receipt of this load of material,confirms time of arrival,begin unload and finish times,and has gEGIN
instructed the driver to add water as follows:
Yds. Gals. Yds. Gals. Yds. Gals. Yds. " Gals.
TEST RESULTS Additional water added to concrete will reduce its strength.
NOTICE:A FEE OF 520.00 WILL 8E CHARGED ON ALL RETURNED CHECKS. FINISH
Temp Tlme Interest will be charged on past due accounts. --�/ Est S!�mp: ___
°/<Air SLP purchaser's Signature � LEAVE
l-1 ='---•.._.�.....,._.,...,- �,_.��,�,�
LAB Driver Signature�' �"' ��-' - � -���'"� � ~
LOCATION TRUCK CODE TARE WT. GROSS WT.} HAULER CODE USAGE ARRIVE
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QUANTITY UOM TICKETED ORDERED PRODUCT CODE DESCRIPTION PRICE/UNIT EXTENDED AMOUNT
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BEGINNING-ODOMETER-ENDING SP ADDED ''� } � � ' Y �
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