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ti <br /> { BUIRMCD <br /> DISPATCH CORP OFFICE 970.356 7512 3 03.637.0900 <br /> { 301 CENTENNIAL DR. <br /> MILLIKEN,CO 80543 111111 HE I 1111111 IN 11 <br /> * � I CLISTOF`tE• —__ —_ -__ "I..I x* PLANT DATE *FIM51H, <br /> F- - <br /> CVSTL)tAEKMgtLK wwT <br /> O*11111 MKER Cusr"41rMlllll Mt7FR PREvOUs MIX• CaOT"R I IEAVE Ja PLANT <br /> t ti <br /> S <br /> • DEUVERv ADDRESS INSTRUCTIONS i PLEASE VERIFY ADDRESS) SUBTOTAL <br /> CITY TAX <br /> STATE TAX <br /> • WATER ADDED AT CUSTOMER:DRIVERCOMMENTS TOTAL <br /> CUSTOMER'S REQUEST - GRAND <br /> TOTAL <br /> ;. nal.Fa SLLr•w MAotAGE Freshly mixed concrete may cause burns.blindness and severe skin injuries.Avoid contoc' <br /> skin. Wash exposed skin areas promptly with water. For eye exposure. rinse immediately ar+r <br /> a a TtsT RESULTS s, 11Iv "w 'EMo repeatedly with water.Seek prompt medi_ol afi --on.KEEP OUT OF REACH OF CHILDREN <br /> NOT RESPONSIBLE FOR DELIVERY BEYOND THE CURB UNE. <br /> 10324791 III Jill ' IJill 1 I RECEIPT,RELEASE AND ACKNOWLEDGEMENT <br /> . CUSTOMER TO PROVIDE W"SNOUT ARFA <br /> UNLOADING TIME IS SIX MINUTES PER CUBIC YARD.TIME IN EXCESS IS SUBJECT TO CHARGE. CUSTOMER'S REPRESENTATIVE <br /> ttp <br /> 1s t? T 41"Nat: Nt.1e Ticket lb <br /> 1.1 S er 9::31 1', <br /> holtxp�Klt�t odor Returned C7ty hlix Age Seq Load <br /> I. r IJ i 1�t,�11,. £'.t:r D 12 13 <br /> { material Le" ntlon Qty° RoquIred 1a x far t Nei iture Actual Wat <br /> { Atifi38336 ALLUOAL $89 93E 1b 6711 lb 6 t 0.43$ 0.35% 0 3 gl <br /> { 44144118 I3X'*TE W, 1972 lb 16513 lb 16 t 1.25% 5.9% A 97 91 <br /> Pffilil mml `2LI I 4M.I lb 41 `6 !t I.31 <br /> 1635 141D WW_ •3.48 0.' 315.84 82 31 6.6 <br /> { WMER WATER 36 lb 1745 lb 1 ! !t -11.'% `*9 91 <br /> { fd * SIB' I b 105L I l b 1 11 C I•Ir3t <br /> �W637 i�'dgllttl0N S'1,`ll�S. ; oz 01@4.I11 oz 1meoll az I.96x <br /> Actual *a 8iitch4 "_,) y:31:5e5 <br /> W Total: 31 I 10 1 d.54 Watrr/Croat C490 G ��►qqR 316.8 Kt <br /> l ►kt,,s: stlti.l gi i� i.; q► <br /> LAW 6.to to Water It k: A.�.,lEl.: Adjust Water: d.i 3 Trio 1later: -1.8 0; CID <br />