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2014-10-07_REVISION - M1995008
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2014-10-07_REVISION - M1995008
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Entry Properties
Last modified
6/16/2021 5:38:25 PM
Creation date
10/7/2014 1:56:50 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1995008
IBM Index Class Name
Revision
Doc Date
10/7/2014
Doc Name
Request for Surety Reduction
From
Fremont Paving and Redi-Mix, Inc.
To
DRMS
Type & Sequence
SR1
Email Name
TAK
TC1
Media Type
D
Archive
No
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ARY BROTHERS TRUCKING, Inc. , ARY BROTHERS TRUCKING, Inc. <br /> CANON CITY, COLORADO CANON CITY, COLORADO <br /> ALBUQUERQUE, NEW MEXICO ALBUQUERQUE, NEW MEXICO <br /> ROAD MATERIAL ROAD MATERIAL V r s© <br /> DIRT GRAVEL SAND - „y tA-R--y-e-a�os.�InlcKl —\ DIRT GRAVEL SAND --- <br /> `- / t ARY UK tIl 011% \ <br /> BID ANY JOB . . . LARGE OR SMALL 0 0 BID ANY JOB . . . LARGE OR SMALL <br /> BELLYDUMP WORK & 0 I BELLYDUMP WORK & •� o O <br /> �- END DUMP END[ DUMP <br /> BILL TO: f r--�.y✓�, �({i /I' BILL TO: <br /> 1^r,"i7n� <br /> TRUCK NO. ITRAILER NO. DATE -, :!' fy TRUCK NO. ITRAILER NO. DATE <br /> START TIME: /� I r ��# START TIME: <br /> P/ / FROM: �7r^a'�'r[s-�.!)/11`7-, I <br /> SlJAjt!' HOURS: ©l%1� Y HOURS: ,/ <br /> TO: TO: d <br /> STOP TIME: FUEL: STOP TIME: FUEL: <br /> LOAD TIME JOB NO. TICKET NO. NET WEIGHT LOAD TIME JOB NO. TICKET NO. NET WEIGHT <br /> ,, U 4 <br /> /� � I'- /1i 1 + ^ %,,%�.�- ) �?pr ��'f f '' �Lt ✓'�x�'•'' - f�,"I'I �`''� �",�� r'�- 7+'�y c <br /> i <br /> i <br /> Y <br /> ^l^ <br /> I <br /> k <br /> I <br /> f <br /> i — <br /> 1 <br /> i <br /> 1 <br /> i <br /> , <br /> PRETRIP INSP. POST TRIP INSP. PRETRIP INSP. POST TRIP INSP. <br /> 1 <br /> AUTHORIZED AUTHORIZED <br /> SIGNATURE 1 J t <br /> t • - a + �� SIGNATURE . .,� <br /> DRIVER DRIVER _� <br /> A periodic FJ'NANCCCHARGE (annual percentage rate of 24%)will be applied to any past due balance. + A periodic NF iNCE CH RGE (annual percentage rate of 24%)will be applied to an <br /> Customer will be responsible for an and all collection fees, if incurred. p e PP y past clue balance. <br /> p Y� � Customer well be responsible for any and all collection fees, if incurred. <br />
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