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HARLEY <br />~~~v, ~ , <br />'u 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 et Customer's direction and signature. By <br />directing or taking delivery inside curb line Customer agrees to hold harmless Keeter <br />Trucking Co. from ell claims end liabilities for damages growing out of such delivery. <br />Purchaser to sign here if delivery inside curb Ilne <br />Date <br />Material ~ ~~/^ <br />!~7 `Y7~ <br />`lard Pickup c <br />Weighted by <br />Received by <br />HARLEY <br />/'/~~~ <br />~' <br />Trucking <br />6379 Valmont Drive <br />Boulder, Colorado 80301 <br />Phone 442-2131 <br />MATERIALS DIVISION <br />Time Loaded <br />Truck Number <br />Driver B Y Y <br />Customer <br />Address <br />Telephone Number <br />Material Charge <br />Total <br />Special Ins ~ctio~ <br />' / L <br />2534 <br />TICKET NUMBER KY <br />T7~0 ~~//ltn~~~c ~-- <br />Delivery Access: Purchaser is responsible to provide suitable ways or approaches to point <br />of delivery. Delivery inside curb Ilne is only at Customer's direction and signature By <br />directing or taking delivery inside curb line Customer agrees to hold harmless Keeter <br />Trucking Co. from all claims end liabilities for damages growing out of such delivery. <br />Purchaser to sign here if delivery inside curb line <br />Date ~ - ~ ~ - ~ Z- <br />Material m~~~ <br />Code <br />Gross Wt. J Co ~1 ~ <br />Tare Wt. ~ 3 ~ Ci <br />Net Wt. ~~n~ l <br />Tons r/ ~ ~ DSS <br />Material Charge <br />Haul Charge <br />State Tax _ <br />City Tax _ <br />'lard Pickup Time Loaded Total <br />Weighted by Truck Number Special t:F1on <br />Received by Driver <br />NUMBER KY 2 5 2 3 <br />- City Tax <br />