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HARLEY <br />fI ~, i / ~ , <br />`~ w"v JR. <br />Trucking <br />6379 Valmont Drive <br />Boulder, Colorado 80301 <br />Phone 442-2131 <br />MATERIALS DIVISION <br /> <br />Customer <br />Address <br />Telephone Number <br />NUMBER KY 2 5 5 4 <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 end signature. ey <br />directing or taking delivery inside curb Ilne Customer agrees to hold harmless Keefer <br />Trucking Co. from ell claims end Ilebilltles for damages growing out of such delivery. <br />Purchaser to sign here It delivery inside curb Ilne <br />Date <br />Material ~~~ <br />1-~1 !'Y1 ~ 6 ,~ <br />Code <br />Material Charge <br />City Tax <br />Yard Pickup Time Loaded Total <br />Weighted by s~r~~ Truck Number Special I trugtton <br />Received by ~ Driver ~ ~ <br />HARLEY <br />°~~~ ~ I / / <br />Trucking <br />6379 Valmont Drive <br />Boulder, Colorado 80301 <br />Phone 442-2131 <br />MATERIALS DIVISION <br />TICKET NUMBER KY 2 5 5 0 <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 Customer's direction end signature. By <br />directing or (eking delivery Inside curb Ilse 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 if delivery inside curb line <br />Date <br />Material ~~~ <br />i~ ,n . ~ ra <br />Code <br />Yard Pickup ~~ <br />Weighted by <br />Received by <br />Tons <br />Time Loaded <br />Truck Numb ~ ~_ <br />Driver ~a~ <br />Material Charge <br />State Tax <br />Total <br />Specie ns ~n <br />City Tax <br />