Laserfiche WebLink
2532 <br /> -4y ICKET NUMBER <br /> / Customer Ho m e 5 a C _ m i 111. <br /> � . <br /> "ArXcl <br /> JR. Address - <br /> irucking <br /> 6379 Valmont Drive Telephone Number — - <br /> Boulder, Colorado 80301 Delivery Access Purchaser is responsible to provide suitable ways or approaches to point <br /> Phone 442-2131 of delivery Delivery inside curb line is only at Customer's direction and signature. By <br /> directing or taking delivery inside curb line Customer agrees to hold harmless Keeler <br /> MATERIALS DIVISION Trucking Co. from all claims and liabilities for damages growing out of such delivery. <br /> Purchaser to sign here if delivery inside curlb.line — <br /> Date L_ 1 -7 Gross Wt. 2� l Material Charge <br /> Material �t Tare Wt. <br /> < Net Wt. L L L-- Haul Charge —_—_ <br /> ode _ _ Tons /6' 17 State Tax <br /> City Tax <br /> lard Pickup _ Time Loaded / Total <br /> Neighted by b Truck Number _J._ZLL—_ Special InMructipt ___, <br /> 3eceived by Driver �`�r , —_L• � <br /> HARLEY TICKET NUMBER KY 2 5 1 8 <br /> -/g Customer <br /> L1 J R. Address _ <br /> Trucking <br /> 6379 Valmont Drive Telephone Number _. <br /> Boulder. Colorado 80301 Delivery Access. Purchaser is responsible to provide suitable ways or approaches to point <br /> Phone 442-2131 of delivery. Delivery inside curb line is only at Customer's direction and signature. By <br /> directing or taking delivery inside curb line Customer agrees to hold harmless Keeler <br /> MATERIALS DIVISION Trucking Co. from all claims and liabilities for damages growing out of such delivery. <br /> II Purchaser to sign here if delivery inside curb I,ln�e <br /> Date L 1 r Gross Wt. Material Charge <br /> +' l 7 <br /> Material -�— JJ // Tare Wt. <br /> ------- � C Net Wt. _� �� Haul Charge <br /> Code Tons 1 State Tax <br /> ------- City Tax _ <br /> Yard Pickup Time Loaded Total _ <br /> Weighted by . �r-r Truck Number — Special Instruc( <br /> Received by G'/ Driver TG VV., 7 <br />