_ENFORCEMENT - M1983141

• Permit No: M1983141
• IBM Index Class Name: Enforcement
• Doc Name: INTRODUCTION
• Media Type: D
• Archive: No

I.EY TI KET NUMBER KY_ 2 5 2 1
i / 1 � f
Af
% Customer� JR. Address
Trucking
6379 Valmont Drive Telephone Number
Boulder. Colorado 80301 Uehvery Access.Purchaser is responsible to provide suitable ways or approaches to point
Phone [phone] 0 delivery. Delivery inside curb line is only at Customer's direction and signature fib•
directing or taking delivery inside curb line Customer agrees to hold harmless Kpeter
MATERIALS DIVISION Trucking Co. from all claims and liabilities for damages growing out of such delivery.
Purchaser to sign here)f delivery Inside curb line _
Date �� '_ Gross Wt.0 tl r Material Charge
Material '� Tare wt. CL _
Net Wt. ` 1 Haul Charge
Code ____ Tons ' >• .S y State Tax
----- City Tax _
Yard Pickup _ Time Loaded Total
Weighted by,. l! Truck Number Special Instruction
Received by / Driver —L�
MARLEY TICKET NUMBER KY 2541
elAiRTW
CustomerOWl e LL s✓ mik► i 61/��J R. Address _
Trucking
6379 Valmont Drive Telephone Number _
Boulder, Colorado 80301 Delivery Access.Purchaser is responsible to provide suitable ways or approaches to point
Phone [phone] of delivery. Delivery inside curb line is only at Customer's direction and signature. By
directing or taking delivery inside curb line Customer agrees to hold harmless Keefer
MATERIALS DIVISION Trucking Co. from all claims and liabilities for damages growing out of such delivery.
t�Purchaser to sign here if delivery inside curb line
Date L_1 J Gross Wt. .7 f� Q Material Charge
Material � � Tare Wt.
_ Net Wt. 720 Haul Charge
Code _ Tons �LS'• 6 State Tax 11
---- — City Tax f/ —
Yard Pickup _ Time Loaded Total
weighted by Truck Number Special Instru 11,76
Received by _ Driver 'Ter r , / _