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i 2521 <br />TI KET NUMBER KY <br />~ HARLEY <br />~ ,/ <br />~ J ~ ~ % / Customer T7 [J -tit v _ ~7 tL ~ ~~, /] r r~'t~- <br />._. JR. Address ~ <br />Trucking <br />6379 Valmont Drive Telephone Number <br />Boulder, Colorad0 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 et Customers 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 end liabilities for damages growing out of such delivery. <br />Purchaser to sign here if delivery inside curb line <br />Date ~~~ ~ 1 - `T ~ Gross Wt. <br />Material r~~-~~i,, ~ Tare Wt. _ <br />--_T / ~ -~ ~ Net Wt. _ <br />Code Tons <br />Yard Pickup Time Loaded <br />Weighted by,' ~ Truck Nurmlber <br />Received by Driver ~~ <br />HARLEY <br />... J R. <br />Trucking <br />6379 Valmont Drive <br />Boulder, Colorado 80301 <br />Phone 442-2131 <br />MATERIALS DIVISION <br />Date 1 <br />Material <br />Code <br />Yard Pickup <br />Weighted by <br />received by <br />Material Charge <br />U n lJ Haul Charge <br />y State Tax <br />City Tax <br />n ~ ~ Total <br />Special In truct~Il <br />>~ <br />Customer <br />Address _ <br />Telephone Number <br />Delivery Access: Purchaser Is responsible to provide suitable ways or approaches to point <br />or delivery. Delivery inside curb line is only at Customer's direction and signature. By <br />directing or [eking delivery inside curb Ilne Customer agrees to hold harmless Keefer <br />Trucking Co. from all claims end liabilities for damages growing out of such delivery. <br />Time Loaded <br />Truck Number <br />Driver ~~ Y -`!~. <br />Material Charge <br />Haul Charge <br />State Tax <br />City Tax - <br />Total <br />Special Instr~ <br />TICKET NUMBER KY 2 5 41 <br />Purchaser to sign here i1 delivery inside curb line <br />