GENERAL41129

• Permit No: M1983141
• IBM Index Class Name: General Documents
• Doc Date: 3/18/1992
• From: JOY KEETER
• To: BILL YORK FEIRN
• Media Type: D
• Archive: No

~IARLE.Y
/ ~ 7~ ~ .
t% ~v JR.
7'rucking
6379 Valmont Drive
Boulder, Colorado 80301
Phone [phone]
MATERIALS DIVISION
• TI• ET NUMBER KY . 2 5 5 1
Customer ~ Wt 'B ~ ~Ce-'t ~G ~ ~ N I bL/1r
Address
Telephone Number
Delivery Access: Purchaser is responsible to provide sultebla ways or approaches to point
of delivery. Delivery inslde curb line is only et Customers direction and signature. By
directing or taking delivery inside curb line Customer agrees to hold harmless Keeter
Trucking Co. from all Claims end Ilabilltias for damages growing out of such delivery.
Purchaser to sign here it delivery inside curb line
Date _ '~ ~ ~ '1 Gross Wt. Material Charge
Material ©~ ~ Tare Wt.

- '~h'1 ~~6~ n
Net Wt. ~5~ 301J Haul Charge
Code Tons ~ ~ • ~P 5 State Tax
Yard Pickup
Weighted by o~~ "~
Received by !//~_
HARLE)Y
~ `~ J R.
Trucking
6379 Valmont Drive
Boulder, Colorado 80301
Phone [phone]
MATERIALS DIVISION
Time Loaded
Truck N~umfbe-r '~. ~ 1._
Driver ~ 111~,~
2531
TICKET NUMBER KY
Customer
Address
Telephone Number
Delivery Access: Purchaser is responsible to provide suitable ways or approaches to point
of delivery. Delivery inside curb line is only at Customer's direction and signature. Ry
directing or taking delivery inside curb line Customer agrees to hold harmless Keeter
Trucking Co. Trom all claims and liabilities for damages growing out of such delivery.
Purchaser to sign here if delivery inside curb line
Date Gross Wt. ~ L^
Material ~~~-' ~ Tare Wt. 2~ ~9
-- ~~y) - ~n~J Net Wt. 7J "l LZ~ l/
Code Tons ~ lam' ~ C'
Yard Pickup Time Loaded
Weighted by Truck Number ~~
Received by Driver
Material Charge
Haul Charge
State Tax
City Tax
Total
Speciallnstructi ~' -
City Tax