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• <br />HARLEY <br />'u v J R. <br />Trucking <br />6379 Valmont Drive <br />Boulder, Colorado 80301 <br />Phone 442-2131 <br />MATERIALS DIVISION <br />Customer <br />Address <br />Telephone Number <br />Delivery Access: Purchaser is responsible to provide suitable ways or approaches to point <br />of delivery. Delivery inside curb line is only at Customers direction end signature. Py <br />directing or taking delivery inside curb line Customer agrees to hold harmless Keefer <br />Trucking Co. from ell claims and liabilities for damages growing out of such delivery. <br />Purchaser to sign here it delivery inside curb line <br />Date <br />Material t~ <br />Code <br />Yard Pickup p~j <br />Weighted by 4~~~~ <br />Received by / <br />HARLEY <br />u, 1 , <br />t,.... `~ J R. <br />Trucking <br />6379 Valmont Drive <br />Boulder, Colorado 80301 <br />Phone 442-2131 <br />MATERIALS DIVISION <br />Customer <br />Address <br />Telephone Number <br />Material Charge <br />State Tax <br />Total <br />Speciallnstru i n <br />L~ <br />i <br />Delivery Access: Purchaser is responsible to provide suitable ways or approaches to point <br />of delivery. Delivery inside curb line is only at Customer's direction and signature. Ry <br />directing or taking delivery inside curb line Customer agrees to holA harmless Keefer <br />Trucking Co. from all claims and liabilities for damages growing out of such delivery. <br />Purchaser to sign here i( delivery inside curb line <br />Date <br />Material ~1,~~; <br />_ fJ l9~ +v ~ F-4-~ <br />Code <br />Yard Pickup <br />l <br />Weighted by <br />Received by <br />Tons <br />Time Loaded <br />Truck Nu{{m~~b~~e~r <br />Driver _1L(Z1~ <br />Time Loaded <br />Truck Number <br />Driver C G <br />Material Charge <br />Total ' --~ <br />Speciallnst ~ _ <br />T~KET NUMBER KY 2 5 2 7 <br />-_ City Tax <br />TICKET NUMBER KY 2 5 3 7 <br />- City Tax <br />