Laserfiche WebLink
• <br /> DISPATCH 970.587.9305 1 303.6370900 <br /> CORP OFFICE 970.356.7523 X q <br /> 301 CENTENNIAL DR. 111111MILLIKEN,CO 80543 IN 1111111111 IN <br /> • <br /> I r Ik-ITOM1R ---.--_—_- --__--_— rUS70MEa COOS Pt ANY DATE TIME TICKET <br /> • <br /> CUSTOMER PHONE E ARRIVE JOB BEGIN POUR LEAVE PLANT <br /> • "Rm.NIAINR ,II}t K's NI IMRIF ril HIiMRIR paEV10U5MIxE cool Aft IF FINISH POUR LEAVE jOB ARRIVE PLANT <br /> 1111161 <br /> I <br /> I t <br /> DELIVERY ADDRESS,INSTRUCTIONS (PLEASE VERIFY ADDRESS) SUBTOTAL <br /> CITY TAX <br /> STATE TAX <br /> f WATERADDEDAT CUSTOMER/DRIVER COMMENTS TOTAL <br /> CUSTOMER'S REQUEST ___NOON TGRAND <br /> OTAL <br /> Tnucx orelvER s<Lw "'"PP" Freshly mixed concrete may cause burns, blindness and severe skin injuries.Avoid contact with <br /> skin. Wash exposed skin areas promptly with water. For eye exposure, rinse immediately and <br /> ME VIOUS TRUCK TEST RESULTS SLUMP AIR EMP f—fedl with water.Seck I • i,ol rrl tirn KEEP OUT OF REACH OF CHILDREN <br /> Y P , <br /> NOT RESPONSIBLE FOR DELIVERY BEYOND THE CURB LINE. <br /> 10324759 I I'I I I "' (I I I('I "I 'I I'I RECEIPT,RELEASE AND ACKNOWLEDGEMENT <br /> 0 CUSTOMER TO PROVIDE WASHOUT AREA <br /> UNLOADING TIME IS SIX MINUTES PER CUBIC YARD.TIME IN EXCESS IS SUBJECT TO CHARGE. CUSTOMER'S REPRESENTATIVE <br /> rr <br /> .zI,C <br /> Material tlescr tItsn If fit 49*Fvd BTU <br /> A"3M9 AUUV1AL 489 am 1b 6111 1b I <br /> P014414 L"M:RETE C*KI 1972 1b 16W 1b I( <br /> MW M1 526.0 lb 42$Li lb 411 <br /> Owls MID RANGE 39.45 0: 315.64 a: 31. <br /> RATER V9 1b IM, lb it <br /> Sly J e.it I b I N:tlr.e 1 b 1&A.I l t' P.38% <br /> WWI1 STIA811.1 13.00. i 104.M e IF4?'10 +1'iludJ <br /> 3 Ib W09ft 0.501 hater Lerae : t4 4 CI I�r iBG,r' 01 <br /> C _ .t slater In T-Ir41: P.A gl +a . � !v;, P.!' ! � � +0 tlalc -1.0 CIT <br />