HomeMy WebLinkAboutNCD980602163_20011231_Warren County PCB Landfill_SERB C_No. 84 - Concrete Delivery Tickets-OCRi
TRANSMITTAL COVER PAGE
WARREN COUNTY PCB LANDFILL DETOXIFICATION PROJECT
IT Corp. Project #827062
Submitted By: IT Corporation -200 Horizon Center Boulevard, Trenton, New Jersey 08691
Transmittal Number (chronological sequence):~
Transmittal Date: 12/3/01
Submittal Register Item Number: 79 Partial
Resubmittal: No_.X Yes __
Specification Section: 03200 1.03 A 1
Description: Actual Concrete Reinforcement Steel Used in the Slab
Drawing/Detail Number: NIA
Subcontractor/Supplier: Ivy Steel and Wire
Comments: NIA
Number of Copies Submitted: _4_
Number of Copies to be Returned to Contractor_o __
Earth Tech Engineer's Receipt Signature: --------------------
Co mm en ts :
Receipt Date:
Engineer's Approval
Comments:
Reviewer's Signature
Project Manager's Signature
D A. "Reviewed and approved, no exceptions taken"
D B. "Reviewed and approved with comments
D C. "Revise and Resubmit"
Date -----------------------
_______________ Date ________ _
Attached is the tag from one of the bundles of wire reinforcement steel. Note that an earlier
issue, submittal 79, described this wire before it was used.
I II L:;" t.. 2 -W? -
SPACIN ~IRE SIZE )
~ X . -~ • XI
.: ., [ u + "] JB,'!'I
WEIGHT AREA cl: •
Manufactvrod In U.5.A. by / ~ I j ~ ; ~ ♦ IVY STEEL & WIRE ( ~n.,
5 T ~CL fCEI/UF()/2CEtv1eJU T
FDR SLPrB
f
TRANSMITTAL COVER PAGE
WARREN COUNTY PCB LANDFILL DETOXIFICATION PROJECT
IT Corp.Project#827062
Submitted By: IT Comoration -200 Horizon Center Boulevard, Trenton, New Jersey 08691
Transmittal Number (chronological sequence): _Q1_Z
Transmittal Date: _1._.2""/3=/-"-0.._l __
Submittal Register Item Number: ~
Resubmittal: No_x Yes __
Specification Section: 03300 2.02 A
Description: Concrete Compression Tests and Standard Deviation
Drawing/Detail Number: NIA
Subcontractor/Supplier: Greystone Concrete, Henderson, NC
Comments: NI A
Number of Copies Submitted: _4_
Number of Copies to be Returned to Contractor_0 __
Submitter's Name and Signature: Gary W. Duke, P.E.
Earth Tech Engineer's Receipt Signature: ____________________ _
Comments:
Receipt Date:
Engineer's Approval
Comments:
Reviewer's Signature
Project Manager's Signature
D A. "Reviewed and approved, no exceptions taken"
□ B. "Reviewed and approved with comments
□ C. "Revise and Resubmit"
_______________ Date _________ _
_______________ Date ________ _
Concrete Compression Tests and Standard Deviation
The test were performed by Geotechnics in Raleigh, NC using ASTM C 39 & C 1231 /
AASHTO T-22.
The locations of the concrete pads, numbered 1 through 4, are shown below.
PAD 1 f'AD 2 .,:AD 3 PAD 4 □•
.......... ~~--~~~---'-...... -"========'-.,_
/
Location of the Four Concrete Pads
The concrete cyclinder numbers corresponding to the pads where the samples were taken are
shown below along with the average and standard deviations of each test.
Average 28 Day Compressive Strength and Standard Deviation of Concrete on Each Pad
Cyclinder Average Compressive Standard
Numbers Strength Deviation
Pad 1 9 -12 4,258 107
Pad 2 3-8 4,304 257
Pad 3 13 -19A 4,139 384
Pad 4 19B -28 3,853 355
The results of the 28 day compression tests are shown in the attached tables.
CLIENT:
COMPRESSIVE STRENGTH OF CONCRETE CYLINDERS
28 DAY
IT CORPORATION
CLIENT REFERENCE: WARREN CO. PCB LANDFILL.
R01024 (827062) PROJECT NO.:
LABORATORY SET TEST DATE OF TOTAL COMPRESSIVE
ID NUMBER NUMBER AGE TEST LOAD STRENGTH
IT-3-3 3 28 11/15/2001 125,500 4440
IT-3-4 3 28 11/15/2001 133,500 4 720
IT-5 - 3 5 28 11/15/2001 127,500 4,510
IT-5 - 4 5 28 11/15/2001 130,000 4,600
IT-6 - 3 6 28 11/15/2001 117,500 4,160
IT - 6 - 4 6 28 11/15/2001 110,500 3,910
IT -7 - 3 7 28 11/15/2001 116 000 4100
IT - 7 - 4 7 28 11/15/2001 116,500 4,120
IT-8 - 3 8 28 11/15/2001 122,000 4,320
IT-8 - 4 8 28 11/15/2001 117 500 4160
IT - 9 - 3 9 28 11/16/2001 117,000 4,140
IT-9-4 9 28 11/16/2001 122,500 4,330
IT -10 - 3 10 28 11/16/2001 120,000 4240
IT-10-4 10 28 11/16/2001 117,000 4,140
IT -11 - 3 11 28 11/16/2001 120,500 4,260
IT -11 - 4 11 28 11/16/2001 124,500 4,400
IT -12 - 3 12 28 11/16/2001 124,000 4,390
IT -12 - 4 12 28 11/16/2001 117 500 4160
IT -13 - 3 13 28 11/17/2001 140 000 4950
IT -13 - 4 13 28 11/17/2001 130,000 4,600
IT -14 - 3 14 28 11/17/2001 117,500 4160
IT-14-4 14 28 11/17/2001 119,500 4230
IT -15 - 3 15 28 11/17/2001 112,500 3,980
IT -15 - 4 15 28 11/17/2001 116,000 4,100
IT -16-3 16 28 11/17/2001 112,500 3,980
IT-16-4 16 28 11/17/2001 112 000 3,960
IT -17 - 3 17 28 11/17/2001 120 000 4,240
IT -17 - 4 17 28 11/17/2001 132,000 4,670
IT-18-3 18 28 11/17/2001 108,000 3,820
IT -18 - 4 18 28 11/17/2001 113 500 4.010
IT-19A-3 19A 28 11/17/2001 105 000 3 710
IT-19A-4 19A 28 11/17/2001 100,000 3,540
IT -19B - 3 19B 28 11/20/2001 108,500 3,840
IT -19B - 4 19B 28 11/20/2001 121,000 4,280
CLIENT:
COMPRESSIVE STRENGTH OF CONCRETE CYLINDERS
28 DAY
IT CORPORATION
CLIENT REFERENCE: WARREN CO. PCB LANDFILL.
R01024 (827062) PROJECT NO.:
LABORATORY SET TEST DATE OF TOTAL COMPRESSIVE
ID NUMBER NUMBER AGE TEST LOAD STRENGTH
IT -20 -3 20 28 11/20/2001 105,500 3,730
IT-20 - 4 20 28 11/20/2001 97 000 3430
IT -21 - 3 21 28 11/20/2001 103,500 3,660
IT -21 - 4 21 28 11/20/2001 102,000 3,610
IT-22-3 22 28 11/20/2001 119,000 4 210
IT-22-4 22 28 11/20/2001 122,000 4,320
IT-23 -3 23 28 11/20/2001 117 000 4140
IT-23 - 4 23 28 11/20/2001 109,500 3,870
IT-24 - 3 24 28 11/20/2001 105,500 3,730
IT-25 - 3 25 28 11/20/2001 116 000 4100
IT-25 - 4 25 28 11/20/2001 119,000 4,210
IT-26 - 3 25 28 11/20/2001 89,000 3,150
IT-27 - 3 27 28 11/20/2001 93 000 3,290
IT-28 - 3 28 28 11/20/2001 106,500 3,770
IT-28 - 4 28 28 11/20/2001 117,500 4,160
Mr. Jun Cloonan, PE
Earth Tech, Inc
10 Patewood Drive
Bulding VI, Suite 500
Greenville, SC
29615
Dear Mr. Cloonan:
December 31, 200 I
Wanen County PCB Landfill
Detoxification Project
6912 Shawia Drive
North Richland Hills, TX 76180
Tel. 817-498~303
Fax. 817-581-4152
A Memberof'lhell'Owp
Attached find Transmittal No. 57, Submittal 84, the delivery tickets for the concrete used for
the slab. These copies were received from Greystone. Unfortunately several of the copies are
difficult to read, but the majority are OK.
Sincerely,
Cc: Pat Backus, DENR v
John Funk, Earth Tech
Gary Duke, IT
TRANSMITTAL COVER PAGE
WARREN COUNTY PCB LANDFILL DETOXIFICATION PROJECT
IT Corp. Project #827062
Submitted By: IT Corporation -200 Horizon Center Boulevard, Trenton, New Jersey 08691
Transmittal Number (chronological sequence): _921
Transmittal Date: 12/31/01
Submittal Register Item Number: ~
Resubmittal: No_.X Yes_
Specification Section: 03300, 1.03, A, 4
Description: Concrete Delivery Tickets
Drawing/Detail Number: NIA
Subcontractor/Supplier Ellington and Son
Comments: NI A
Number of Copies Submitted: -2_
Number of Copies to be Returned to Contractor __ o __ _
Submitter's Name and Signature: Gazy W, Duke, P,E._--,!~~~""'-,._ ... W....., __ u..,...!j....,~'Z"J#----
Earth Tech Engineer's Receipt Signature: __________________ _
Comments:
Receipt Date:
Engineer's Approval
Comments:
Reviewer's Signature
Project Manager's Signature
□ A. "Reviewed and approved, no exceptions taken"
□ B. "Reviewed and approved with comments
D C. "Revise and Resubmit"
_____________ Date ________ _
______________ .Date ________ _
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---
.ARGE
WATER ADDED TESTS MADE
The seller assumes no responsibility for strength and/or ua 1ty when water is
added at customer's request. DELIVERY TKT. NO. :i. J!/1('1./ t
DATE J I;)/ J !'.,/;~i_!JI,:,.;_
SOLD TO:
. '. ·' -
SHIP TO:
CUSTOMER ORDER NO.
QUANTITY
TRUCK NO .
TIME
TOTAL CU YD.
MIXNO.
•_.; I •1
,I
DESCRIPTION PRICE
SUB TOTAL
,?11~,,. SALES TAX
PLEASE READ BACK BEFORE UNLOADIN
OFFICE COPY
AMOUNT
SOLD TO:
SHIP TO:
CUSTOMER ORDER NO.
•QUANTITY
TRUCK NO.
TIME
TOTAL CU . YD.
MIXNO.
ACCOUNT NO.
DESCRIPTION
_,..:.. ... ,·. __
PRICE
SUB TOTAL
SALES TAX
TOTAL $
AMOUNT
Driver ________________ _
EAD BACK BEFORE UNLOADING
OFFICE COPY
---------.-::-·~ -------~--=-
___ --~ --~:.--" __ =:_'_ ~-~~·-•'=-'-~~~;-;~~~-==-=:=..
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The aener ,i1aumes 'no reapooalbl,lty for strength and/or qucillty when water is
•,dded at customer's req_uest. · oeuveRY TKT. NO. 13007 3
SOLD TO:
SHIP TO:
DATE.' 10/18/2001
BLAI~ CONCRETE SER VICES
#590i-WARREN CU. LANDFILL
140l -A DJGGS DRIVE
RALf:"°I G~~ ' NC c'.-/602;
SAi'l!L '
CUSTOMER ORDER NO. fj.i;.t., ~) ACCOL)NT NO. 5802
• ,•, I
' ·~ • ,·-!·... • ;,~, • . PRICE • . AMOUNT '
l, •!.! .. l,ifl,:I ',' LI\; 4-(lli..~tZI PS l .... 6 B~)G NI X
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TRUCK NO .. UUI{ I RuU<
TIME (:I : 1 h; -\::;
TOTAL CU. YD .
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t.,11
. '' Rec'd By ____ 3~/.__~ ....,_/ fl_,__ ___ _
SUB TOTAL
b. (i)Qt~ SALES TAX
TOTAL$
Driver ___________ ___,
PLEASE READ BACK BEFORE UNLOADING
OFFICE COPY
...... ~·· ': .. ... . . .
_, •. • ·. . t·□cASH"'·□cHARGE · ·
/ ,:~ · 1 . ARRiVE los I t!Ff Joa j ~A?=Aooeo \ TESTS MAOe . \
· The seller assumes no responsibility for strength and/or quality when water is
added at customer's request. DELIVERY TKT. NO. 1 3Q'.•~f/ 4
DATE l(-, / 18 / i:.~tll(M
SOLDTO .:~\:..il:f f~ LUNCIH.:lt: hLl<VlCL~)
+~;~',~:it.''I l ·+.fflf<HU~ t.:u_ 1.rn~DF I LL
l 40l -~ DIGGS DRIVr
SHIP TO:
l:::/\L.L J l-if i,
'j~~IY.t :
CUSTOMER ORDER NO. i:.::Z'.C'.:', ACCOUNT NO.
-DESCRIPTION
YOS ~000 PSl -G BAG MlX
/~';) 'y'l) '
TRUCK NO. ,Ju!-~ d djU'.
TIME r.., :: :t \; ;: d.
TOTAL CU . YD.
MIXNO.
PLEASE READ BACK BEFORE
OFFICE COPY
... -·---------~ ·.,..~:::.~--· . "? ~====,r----·™:=&,::SC ... m;em. ... >&&c ~
-:~
PRICE
SUB TOTAL
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AMOUNT
~• • '!I...,. • a'' I
WATER ADDED TESTS MADE
The eener assumes no responslblllty for strength and/or quality when water is
added at customer's request. DELIVERY TKT. NO. 1 ~:;1.(1eo~,
DATE l li)/ l fl /;~:1Ztll1!
SHIP TO:
r. r. ~ .. r::: r (.:.~1 ; ._1
. s~1,;~;.
CUSTOMER ORDER NO. ;~:::::'._, .. ACCOUNT NO.
TRUCK NO. 1 ,. _•:
TIME
TOTAL CU . YD.
MIXNO.
DESCRIPTION
,..-,,
-:•· f''•-~·.l
E READ BACK BEFORE U
OFFICE COPY
PRICE
SUB TOTAL
SALES TAX
AMOUNT
· ,'1"he ••·rfer •••umttl no 1'9$.pc;m,tblllty:for stren_gth and/or q4.allty when water is .
, ~ added at'oustomer:'a reguest. . DELl~ERY TKT. NO. 1300T/ .
DATE H?.1/ l8/E:1Z11z11
SOLD TO l.'.iL(-U H CONCl-<FTC !:.iE h t}T CF S
#~'_;9 ,;:1, +Jt 1fWE:N 1::u.. L.r.1NDF l LL
1~01 -~ OIGGH DRIVE
1,:ALJ ·;;; !, tk' ~~/f-0 ~
SHIP TO: :-,;:Ji·(IF
CUSTOMER ORDER NO. c:::it<j ACCOUNT NO.
DESCRIPTION,
1 8_00 IG~ 4000 ~S~
:l :l 1/, ·y-u::::: 60. ~i'Lilit(! I
~t
Tlfv,
TOT1-
MIX N1..
Rec'd By_
.Ji J _ Driver ---,'---~___:: _________ -1.
.EASE READ BACK BEFORE UNLOADING
OFFICE COPY
□CHARGE
LEFT JOB WATER ADDED
!O' tJJ /tJ
TESTS MADE
The seller assumes no responsibility for strength and/or quality when water is
added at customer's request. 1 :,~•,A', / .,:. DELIVERY TKT. NO .
DATE .l ~~ / l Ll .'; :,.;,,/1 :i
SOLD TO:
SHIP TO:
CUSTOMER ORDER NO. ACCOUNT NO. ,·, , ,, ,-----.-----------------------.--------.------; 1 t QUANTITY DESCRIPTION · PRICE AMOUNT
TRUCK NO . _i, > I ;,; : SUB TOTAL TIME · .:.',; :,c
TOTAL CU. YD.
MIXNO. ,.....,
:. d.\'. SALES TAX
TOTAL $
F Rec'd By-------,:;_• -:(f"' •'--:···-/...,.'.'-/_' ....,...._,,...
1
____ _ ,_,,,...,,., ,,, Driver _____________ _
PLEASE READ BACK BEFORE UNLOADING
OFFICE COPY
-~-~ ·--~~. _'.__:~---.. ~----~~~.~~~~~~--~--~ --
-·_----:.....;;;:;.,,;, .... ___ :_ __ ===---· -·:~-:,--~-
SOLD TO:
SHIP TO: . ,.· ....
CUSTOMER ORDER NO.
TRUCK NO.
TIME
TOTAL CU . YD .
MIXNO.
ACCOUNT NO.
DESCRIPTION PRICE
SUB TOTAL
SALES TAX
;
EAD BACK BEFORE UNLOAD~
OFFICE COPY
-•----------·--~~~~~_:~~~;;;_~~~~~~~~'
1..--· •.. _
· _ .,·}jsuuMo,·J·
' ,. -,'. .J, dUIOJ :;·1 ;:J
130266
DATE . 10/20/2001
SOLD TO: BLAIR CONCRETE SERVICES
#5901-WARREN CO. LANDFILL
1401-A DIGGS DRIVE
RALEIGH, NC 27603
SHIP TO: SAME
CUSTOMER ORDER NO. 226 5
10.00
DESCRIPTION
YDS 4000 PSI -6 BAG MIX
282 YDS
ACCOUNT NO. 5802
PRICE
E.,0. 5000
5802
AMOUNT
TRUCK NO. OUR TRUCK
TIME 12: 50: 05
SUB TOTAL 605. 00 ;
6. 6. 00"-SALES TAX 36. 30 1
TOTAL CU YD . L
MIXNO. f------------TOTAL $ &41. 30 ]/
Rec'd By _______________ _ Driver ____________ 1
PLEASE READ BACK BEFORE UNLOADING
ORiGINAL COPY
'~f~;-~_-_:~~~~~~~:~~;_~~~~~., ·-. ---->~➔~---~:tj~-~ .. -:~.-~:---~--.::=-··-=-·:·· --=-~: ___ ·_:~ ------
--. ---------· -----~-----------. --=-z..... ~---==-=~-?-,..··.,.,----... --------.............. =;-,--==--"----,t ~~~~~~~ ::=-~---~=~~~~------·----·-.
. ;c'dBy \_LA..A:Vb~~~ ~:;-· , · · --'=-;;;;;>~
PLEASE READ BACK BEFORE UNLOADING
OFFICE COPY,
'*:q~1tty wtt•n ,....r la
'"""J~•:,: · ,i,oeLtVERYTKT. NO. 1302&0
DATE 10/20/2001
SOLD TO:
SHIP TO:
. BLAIR CONCRETE SERVICES
#5901-WARREN CO. LANDFILL
1401-A DIGGS DRIVE
RALEIGH, NC 2 7603
SAME
CUSTOMER ORDER NO. 226 5 ACCOUNT NO. 5802
DESCRIPTION
VOS 4000 PSI -6 BAG MIX
262 YDS
TRUCK NO. OUR TRUCK
TIME 12:12:00
TOTAL CU . YD .
MIXNO.
6.
PRICE
60.5000
SUB TOTAL
6. 00'1-SALES TAX
TOTAL $
5802
AMOUNT
Rec'd By _______________ _ Driver ___________ _
PLEASE READ BACK BEFORE UNLOADING
:JR!Gli\lAL COPY
!~~~5;~~....,--==,...---.... ~=-=--~_:_:_~--~~-~-=-_·~-:_·~--~-~~--------~-··•_'?...,..:-:~·.
PLEASE READ BACK BEFORE UNLOADING -.
OFACE eopy,: .
,sou:> ro:
SHIP TO:
BLAIR CONCRETE S~RVICES
#5901 -WARREN CO. LANDFI LL
1401 -A DIGGS DRIVE
RALEIGH,, hlC ,:'"/C.11_;?:
SHME
,1 )j: .. >),: ~L l"'.! I -._.· , ,
',,,:: ",
CUSTOMER ORDER NO, ACCOUNT NO,
TRUCK NO,
TIME
TOTAL CU YD ,
MIXNO,
DESCRIPTION PRICE
SUB TOTAL 'L :
SALES TAX
TOTAL $
Rec'd By _________________ _ Driver al_,~~
PLEASE READ BACK BEFORE UNLOADING
OFFICE COPY
I '1 ~
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: ',. -,.
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,andloi'quallty when water Is
.t': ... ,. •. _ , .. : .
. ::_~-, :s,.-':.' · .. · · y TI<T NO 1 302 38 c··· · ·· OEL/VER --
DATE 10/20/2001
SOLD TO: BLAIR CONCRETE SERVICES
#5901-WARREN CO. LANDFILL
1401-A DIGGS DRIVE
RALEIGH, NC 27603
SH/PTO: SAME
CUSTOMER ORDER NO. 2265
DESCRIPTION
YDS 4000 PSI -6 BAG MIX
100 YDS
ACCOUNT NO. 5802 5802
PRICE AMOUNT
60.5000
·t· TRUCK NO . OUR TRUCK SUB TOTAL
SALES TAX ' TIME 8:49:23
TOTAL CU. YD.
MIX NO. TOTAL $
Rec'd By _______________ _ Driver ____________ _
PLEASE READ BACK BEFORE UNLOADING
OAJGh'JAL COPY
. ' ,stre:"gtl"I and/or quality when water la
DELIVERY TKT. NO. 1 3 01 512)
DATE !QI/ 19 /i.::'.0t/.11
SOLD TO: BLAIR CONCRE TE SERVICES
:tt'.:i':.+I/IJ ·t~rlF?HFH 1.:Ll.. I .. J ll>.iC,I lL :.
J i'.:.11.:i 1 ·· n .u I u, ;:-:: :~lln :.•i:
SHIP TO:
CUSTOMER ORDER NO. ACCOUNT NO.
DESCRIPTION PRICE AMOUNT
Ii
TRUCK NO. SUB TOTAL
TIME ,,n · SALES TAX
' TOTAL CU . YD .
MIXNO.
SOL.OTO:
SHIP TO:
,·-, ·o ERYTKT.NO. < _i .3(/.l l ~.:i l
' DATE 1121/ 1 :, / <·'.illl/1 1
·BLAIR CONCR ETE SERVI CES
#5901 -WARREN CO. LAND~ILL
1401 ·-(.} DIUl3F, DU I 1.I F
RrK.E I F:il-l , 1-.1(: :·· /f,i!.1 -";
~:~;:)MC:
en water
CUSTOMER ORDER NO. ACCOUNT NO.
UANTITY
TRUCK NO.
TIME
TOTAL CU . YD.
MIXNO.
Rec'd By
DESCRIPTION
-· .. -·
PRICE
SUB TOTAL
SALES TAX
TOTAL $
AMOUNT
PLEA~~ BEFO;;'U-N-LO_A_D_IN_G ____ _
OFFICE COPY
TESTS'MAD
The seller assumes no responsibility for strength and/ r quality when water is
added at customer's, request. DELIVERY TKT. NO. :L 3 ('.l J '.:.',::
SOLD TO
SHIP TO:
CUSTOMER ORDER NO.
' <, QUANTITY
TRUCK NO.
TIME
TOTAL CU. YD .
MIXNO.
DATE
. i .. ·-·
DESCRIPTION
1 Q't i :i. '} / ? 1;.11/1 j_
ACCOUNT NO .
PRICE
SUB TOTAL
SALES TAX
TOTAL $
AMOUNT
Rec'd By
).1 //! ) y~///,:f{ Driver ____________ _
PLEASE READ BACK BEFORE UNLOADING
OFFICE COPY
•Ki-J.,:· ,. ,-'· .. - .
' . ' -J!litQNII!: '(212}4
□CASH □CHARGE
ARRIVE JOB LEFT JOB WATER,ADDED TESTS MADE
The seller assumes no responsibility for strength and/or quality when water is
added at customer's request. DELIVERY TKT. NO.
SOLD TO:
SHIP TO:
CUSTOMER ORDER NO.
TRUCK NO.
TIME
TOTAL CU. YD.
MIX NO.
DESCRIPTION
. : ., ---·
m_-i:1!12-Rec·d By ------+-t;;{L_,,.+'/7_._.__.._{.!_ _______ _
ACCOUNT NO.
PRICE
SUB TOTAL
SALES TAX
PLEASE READ BACK BEFORE UNLOADIN
OFFICE COPY
I :.•':1 ·. ••:.•.
AMOUNT
., . . . .. \ --m ~,
. ·. TERMS: □CASH □CHARGE
T PLANT _,ARRIVE JOB LEFT JOB TESTS MADE
:10
The seller assumes no responsibility for strength and/or quality when water is
added at customer's request.
_;_ --':-.... , _, _
DELIVERY TKT. NO.
SOLD TO:
SHIP TO: ·· ;,.,; ·
CUSTOMER ORDER NO.
TRUCK NO.
TIME
TOTAL CU. YD .
MIXNO.
DA TE :: ic_i;.c; .'.
ACCOUNT NO.
DESCRIPTION
···-··'•'·
PRICE
SUB TOTAL
SALES TAX
PLEASE READ BACK BEFORE UNLOAD!
OFFICE COPY
AMOUNT
-.. tau 10 . u, .
•-,. T' ' 06-,
' ..
•
, .p-U;_Y,STP~ c.cm<;:REns:°~a99ucis., JNc.:,
, . . ,;_, ,.' _;, tPJ:> .. ~ -~ •-Hl!·N~fiMOM, ~--27.QS
J!IH~E: '(252)-438~144
TERMS: 0 CASH O CHARGE
The seller assumes no responsib1 1ty for strength and/or quality when water is
added at customer's request. DELIVERY TKT. NO.
SOLD TO:
SHIP TO: · · ·:··'
CUSTOMER ORDER NO.
TRUCK NO.
TIME
TOTAL CU . YD .
MIXNO.
.•.
•: .. ,·,
DATE
DESCRIPTION
ACCOUNT NO.
PRICE
SUB TOTAL
:i; ·t SALES TAX
PLEASE READ BACK BEFORE UNLOADI
OFFICE COPY
----· -------·-·. ---· _·---:-:-· -9~--------·--· --·----.,_ -· -. ==:-~-~---_----· -!-' _,,;;;:::--~~
------=--------
AMOUNT
TERMS: tJ'cASH
LEFT PLANT ARRIVE JOB
7; :;IC:,
The seller assumes no responsibility for strength and/or quality when water is
added at customer's request. DELIVERY TKT. NO. 1 301 E.1 IL'.l
DATE 101 J ')/c:1tm1
SOLD TO:
SHIP TO:
CUSTOMER ORDER NO. ACCOUNT NO. <;,:'.! :'
d} QUANTITY DESCRIPTION PRICE AMOUNT 1
:."-.
', __ .. , ',-:1 :t ,: '
r ·~-TRUCK NO . :·,,,..,..
/
SUB TOTAL
TIME
TOTAL CU YD .
MIXNO.
,',,/ ·. SALES TAX
Rec'd By ___ --1,,·gL.c.i~1;l.__/,L.L.'ft.__.__ ____ _
PLEASE READ BACK BEFORE UNLOADING
OFFICE COPY
---. ---· ----··-. -----·
·-~=-· -=,;~-=_,.:::-"~--:::-~-~---~~~ -~ ~=-:::??-~; ~7"'
"~ µt:JU IU8J'Bn
•,.·· ·.,.
• • -.-.. ' '-~ 1 -.;{'.~''""',•
G.RJ¾YSTONE CONCRETE PRODUCTS~ J.Nc. ·
· P.O. BOX 880 • HEN0£~80N, N.C. 2753'
PHONE: (252) 438-5144
TERMS: □CASH QcfiARGE
The seller assumes no responsibility for strength andJo·r-quality when water is
added at customer's request. DELIVERY TKT. NO.
DATE
SOLD TO:
SHIP TO: .·, '·,_
CUSTOMER ORDER NO. ACCOUNT NO. ',.:•.
TRUCK NO.
TIME
TOTAL CU . YD.
MIXNO.
DESCRIPTION · PRICE
SUB TOTAL
.. ,:, ·. SALES TAX
Rec'd By ___ ._!J,,..,,1-r/,J.~'/...,,_[,'""'/...:.l _____ _
PLEASE READ BACK BEFORE UNLOADING
OFFICE COPY
---·-· --· ·---·-·--
AMOUNT
----·--. . -· ' --------==c -=---:::_ --~,~~==::-=:=-:-=-~.::-~~~-~;-;~
ARRIVE JOB LEFT JOB
. . . . .
The seller assumes no responsibility for strength and/or quality when water Is
added at customer's request. DELIVERY TKT. NO. 1301 £"'2
DATE 1. ~-i / :I. 9 / ;?.Qi\ZI 1
SOLD TO:
SHIP TO:
CUSTOMER ORDER NO.
, oc -t_O_U_A..:_N:_T_ITY--,----:------
D
-
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_
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_
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_______ -r_P_R_IC....:.E_1 ---:A-:-M-:--:O~U-:-:N-:::T:=----;, ACCOUNT NO. · i-;:. · '·
l'">,r--
r--·---· TRUCK NO.
T TIME ;,
.· T TOTAL CU. YD.
·M
.-.-----MIX NO.
' I
SUB TOTAL
SALES TAX
TOTAL$
/' ' ,,,.--····
Rt Rec'd By -----'L------"lr-------
.1/,.,;(_A, __ .,,
I
. --~ '='""'=I
PLEASE READ BACK BEFORE UNLOADING
OFFICE COPY
+u u Ju ·u1 ·tJ~-~ .J:::,<.: r-. ,. "), . ;.-
0• PaoiueJ~no vCiJ Wol r '··: .. ·-': ,.,c:_:,. . .. _, ,,
: . ;•,'.'.--;i,t:-.}
, .~tQ~E,'~~~Tit ~RQJ>~.~ ~C.
<o,J, 1\';Q.·~x-.ao •:,f' ''"8N~,-N.c. -~Pf ·
PHONE: (252) 43S-a144.
TERMS: 0 CASH O CHARGE
1 DRIVER vi/ ARRIVE JOB TESTS MADE
The seller assumes no responsibility for strength and/or quality when water is
added at customer's request. DELIVERY TKT. NO. 1 :?i~'.• :l 1:, ::~;
SOLD TO: i •, :-.
SHIP TO
CUSTOMER ORDER NO.
TRUCK NO.
TIME
TOTAL CU YD .
MIXNO.
DATE
DESCRIPTION
ACCOUNT NO.
PRICE
SUB TOTAL
,,,:i, :;_ SALES TAX
TOTAL $
AMOUNT
Driver -------------~
PLEASE READ BACK BEFORE UNLOADING
OFFICE COPY
. .. .
.. P • .p, BOX eeo·: • Htl.NOEFtSON., N.c: ':27~36
PHONE: (252) 438-5144 .
TERMS: □CASH □CHARGE
DRIVER LEFT PLANT LEFT JOB WATER ADDED TESTS MADE
;;:~ 1 5</ ct', Jo rr . c') 'I
The seller assumes no responsibility for strength and/or quality when water is
added at customer's request. DELIVERY TKT. NO.
SOLD TO
SHIP TO:
CUSTOMER ORDER NO.
TRUCK NO.
TIME
TOTAL CU. YD.
MIXNO.
DATE
ACCOUNT NO.
DESCRIPTION PRICE
SUB TOTAL
SALES TAX
TOTAL $
AMOUNT
Driver _____________ _
-
PLEASE READ BACK BEFORE UNLOADING
OFFICE COPY
--·· -~· --------· ·•-·-.. '-•• -----M-•o • --~·•• •-::.;•·-:.• •,~ . .:.: .. ••~!..."':';..-.--=-::-•• •••·• -....... ,••-·--••-~•., .. ~.:-._ __ •·-• . --.• . -4,.• ' ·--~ -
ER (:/FT PLANT
{) 1'5._ .
ARRIVE JOB LEFT JOB
TESTS MADE
The seller assumes no responsibility for strength and/or quality when water is
added at customer's request.
. ___ ·_,;;--,_1 ,_ , .•. • -:_,
DELIVERY TKT. NO. ~
DATE
SOLD TO
~ . l •. :. '.
-,·.' '
..... -._ ! ·/i: ..
SHIP TO :
CUSTOMER ORDER NO.
ACCOUNT NO. . -c::•.:_, ...
,··----....---------------
-
-
-
-
-
-
-
-
-
,
-
-
-
-
-
-
r
-
-
-
-
-
:auANTITY
DESCRIPTION
PRICE AMOUNT
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DRIVER
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J1REYSTONE cqNCRETE PRQvucTs, 1Nc.
P.O. BOX 880 ·• MENOERSO.N, N.C. 27636
PHONE: (252) 438-5144
TERMS: □ CASH O CHARGE
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QUANTITY DESCRIPTION PRICE AMOUNT
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•
GR.EY..SJ'ONE CONCRETE PJtODUCTs,_'INc: ····•: .. . . . P.O. SOX 180 • HENDERSON, N.C. 271536
PHONE: (252) 438-5144
TERMS: 0 CASH c::zJ.eHARGE
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QUANTITY DESCRIPTION PRICE AMOUNT
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OFFICE COPY
ARRIVE JOB LEFT JOB WATER ADDED TESTS MADE
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added at customer's request. DELIVERY TKT. NO.
SOLD TO:
SHIP TO:
CUSTOMER ORDER NO.
QUANTITY
TRUCK NO.
TIME
DATE
ACCOUNT NO.
DESCRIPTION PRICE
SUB TOTAL
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!!'HONE: (2S2) 438-al>M
TERMS: 0 CASH O CHARGE
ARRIVE JOB LEFT JOB
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added at customer's request. DELIVERY TKT. NO.
DATE
SOLD TO:
SHIP TO:
CUSTOMER ORDER NO. ACCOUNT NO.
QUANTITY DESCRIPTION PRICE
PLEASE READ BACK BEFORE UNLOADI
OFFICE COPY
TESTS MADE
AMOUNT
ARRIVE JOB WATER ADDED TESTS MADE
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added at customer's request. DELIVERY TKT. NO. !. s,.J.<:':i
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TESTS MAD
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at customer's request. DELIVERY TKT. NO. .l . :(<: •
DATE 1. \~! _..-' ;?i.,11 .· ;-~1~1i;·_: .'.
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OFFICE COPY
SUB TOTAL
SALES TAX
TERMS: □CASH □CHARGE
ARRIVE JOB LEFT JOB "'fA-;E;§. ADDED ~u TESTS MADE
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/.. .· .. · .. TERMS: □CASH
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The seller assumes no responsibility for strength an
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DATE
SOLD TO:
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PRICE
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OFFICE COPY
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The seller assumes no responsibility for strength and/or quality when water is
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DATE
SOLD TO:
SHIP TO:
ACCOUNT NO.
DESCRIPTION PRICE AMOUNT
-------1------------------------+------'------
/.: .. ' TRUCK NO . . ,. ,, SUB TOTAL
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TERMS: 0 CASH
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The seller assumes no responsibility for strength and/o.r quality when water la
added at customer's request. DELIVERY TKT. NO. 131/124 :~
SOLD TO:
SHIP TO:
DATE
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ACCOUNT NO.
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TOTAL $
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OFFICE COPY
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The seller assumes no responslb llty for strength and/or quallty vyhen water is'·
added at customer's request. DELIVERY Tt<T. NO. 130Z-~44
DATE
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SOLD TO:
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DESCRIPTION ,
PRICE AMOUNT
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TOTAL $
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WATER ADDED TESTS MADE
The seller assumes no responsibility for strength and/or quality when water is
added at customer's request. ~ ::vi:> ·:: DELIVERY TKT. NO,
DATE
SOLD TO:
SHIP TO:
CUSTOMER ORDER NO.
,.;·_' 1,··,.;._<l
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. , , C·i QUANTITY DESCRIPTION PRICE AMOUNT
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TIME
TOTAL CU . YD .
MIXNO.
.·i'D·/: ! · · ii ·-;~; ~./ 1: .. ~·.
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'.:.,, /1,;, / SALES TAX
TOTAL $
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PLEASE READ BACK BEFORE UNLOADING
OFFICE COPY
1 ~~ [41~LANT
I
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1
~EFT JOB
1
%EGA°ts \ Tests MADE \
The seller assumes no responsibility for strength and/or quality when water Is
added at customer's request. DELIVERY TKT. NO. i :·,,:,.: '-,_.
..... ? i/i .' ;,_:'. f}_;.(·: '
DATE
SOLD TO:
,·_:' .:·-, ;_: ;' ;·."l. '.!\i, . i-'. . ·1: · .. ;---!:·: 1.·' "!. i:~t:::~:-
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CUSTOMER ORDER NO. ACCOUNT NO.
!. QUANTITY DESCRIPTION PRICE AMOUNT
1 ·· ____ ...1,_ ____________________ 4-____ ---1.. ____ _
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·I TIME ····· t .
TOTAL CU . YD.
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SUB TOTAL
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1 '. Rec'dBy __ 1Z, ............ a~14--Driver
PLEASE READ BACK BEFORE UNLOADING
OFFICE COPY
. .
• TERM,S: □CASH 0C~ARGE .
~ '--------'-------'-----~-----
DRIVER LEFT PLANT ARRIVE JOB LEFT JOB ES SM.t>,O
The seller assumes no responsibility for strength and/or quality when water Is
i
added at customer's request. DELIVERY TKT. NO. ; . 1/1ii ,,
DATE
SOLD TO: I H·-·
SHIP TO:
_1 1; CUSTOMER ORDER NO. ACCOUNT NO. • .,, '' ·
i" _I DESCRIPTION PRICE .. c1 QUANTITY
·1.-;-. . \'' i .·, '· • .-·,_;_,.,,_.,
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·: TRUCK NO.
TIME
TOTAL CU. YD .
•.
SUB TOTAL
SALES TAX
I .__:..M:..:;l:.:..X::...N:....:..=0;..:..· _____________________ ~/-'---"....,..._1--...;__ ____ _
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PLEASE READ BACK BEFORE UNL:.()ADING
OFFICE COPY
:):·,-••~~C~~i#:=_~~~~ ~.,c-c ~ ~~,c. ⇒-··"· ~~~~~~~~~
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PLEASE READ BACK BEFORE UNLOADING .
:. .. .'.~,·:~ :8.'f!~~;:_ ~-".
ARRIVE JOB LEFT J..08
The seller assumes no responsibility for strength and or quality when water is
added at customer's request, DELIVERY TKT. No. ·'·· ·-..
DATE
SOLD TO:
SHIP TO:
CUSTOMER ORDER NO. ACCOUNT NO. ..,, ' !--..:..·-.,---..--__;_"~-------------------,--.--,,-----,------
: QUANT,ITY DESCRIPTION . !
·:·· TRUCK NO.
TIME
TOTAL CU. YD.
.PRiCE
SUB TOTAL
SALES TAX
AMOUNT ·
1-_M_IX_N_O_. __________________ _.___T_O_T_A_L_$ ____ _
Rec'd By ----+-.JJ-1-+-'-v-'--'~2 L~C\.---,. _ Driver ________ _
PLEASE READ BACK BEFORE UNLOADING
OFFICE COPY
·.,±~=-?;~~ .·.~. ~ ~...;---~~2~"'""'<--~=~
R.:d By \ .. : .. :c:::::1\--:'.'~-Uf\:.JJ::'~~ 0,l;;:\-s ---=--:;:;;:-:
PLEASE READ BACK BEFORE UNLOADING
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The seller assumes no responsibility for strength and/or quality when water is
added at customer's request. DELIVERY TKT. NO.
DATE
SOLD TO:
_,.!
SHIP TO:
CUSTOMER ORDER NO. ACCOUNT NO.
DESCRIPTION PRICE
,.::: ··.'...I
.... ,----~--------------------+-____ __.._ ___ _
TRUCK NO.
TIME
TOTAL CU. YD .
SUB TOTAL
SALES TAX
I· MIX NO. TOTAL $ ________________________ _,_ _________ _
Rec'dBy ___ [L__,..14i__,_• _//2_..,.___ --Driver ___________ _
PLEASE READ BACK BEFORE UNLOADING
OFFICE COPY
· .... '.!:._~~~~-~~~~¥~==:~~~::=:i~:~:~~ ~=-~-~~~~~~:
R•c:d By \._../W-.;;.-p -~~-·F-?r:x---~ _0;;: -~~-;:-~-,~~-=-~-~
: j>·· .. PLEASE READ BACK SE~_ORE UNLOADING
~ COP-Yr-,
., ~· . . . '. ~ . , ' ,.
....
•-> TE:~:: □CASH 0CHARG~" , ....
ARRIVE JOB LEFT JOB
TESTSM.A.DE
he seller assumes no responsibility
for strength and/or quality when water is
i, added at customer's request. DELIVERY TKT. NO.
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~-:-:·· TRUCK NO.
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DATE
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ACCOUNT NO.
DESCRIPTION
PRICE
SUB TOTAL
SALES TAX
;; . TOTAL CU . YD .
LJ. MIX NO.
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~--=~--
. PLEASE READ BACK BE;=;,;e; :-:-:· ~-=-:---=-_~·--_·--_--==--=_-_-:::..===-==-~=:::=--:;;::-··~
_ : OFFJQE COPy . UNLOADING
i''.\' ··:. 'H>t(;.;;'1_~;:~,:~··:;
·. . . ·•.
TERMS: □CASH GE .~. -': .. -:
The seller assumes no responsibility for strength and/or quality when water \s
added at customer's request. DELIVERY TKT. NO. ., \;;,,, ,.
DATE
SOLD TO:
SHIP TO:
CUSTOMER ORDER NO. ACCOUNT NO.
TRUCK NO.
TIME
TOTAL CU . YD .
MIXNO.
DESCRIPTION PRICE
SUB TOTAL
SALES TAX
TOTAL $
PLEASE READ BACK BEFORE UNLOADING
OFFICE COPY
,:._,,,;&,:~ D ~ Cij:7-· ~ -Drive~'._.:-:-.--,.----:------~
PLEASE READ BACK BEF.ORE UNLOADING
·.,.::!ti.,.-~it: ~;~~1t-i:~>"-{ ::).<<x .
AMOUNT
ER ,,. / LEFT PLANT
ARRIVE JOB LEFT JOB WATER ADO 0
6~ 11 1 00 td~-2.0 /t);zio /0
ES
The seller assumes no responsibili
t
y
for strength and/or quality when water is
added at customer's request.
._, · · .. , ... _'-.. .,
DELIVERY TKT. NO .
DATE
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SOLD TO:
SHIP TO :
(;/fj -... , CUSTOMER ORDER NO.
/~ _: · QUANTITY
ACCOUNT NO.
1 ".. · ..
. -~--TRUCK NO .
TIME
TOTAL CU. YD .
DESCRIPTION
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SUB TOTAL
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AMOUNT
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TOTAL $
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_
PLEASE READ BACK BEFORE UNLOADING
O FFICE co;:iv
Lf-_FT PLANT
toO
LEFT JOB
TESTS MADE
The seller assumes no responsibili y for strength and/or quality when water is
added at customer's request. DELIVERY TKT. NO .
DATE
SOLD TO:
SHIP TO:
CUSTOMER ORDER NO.
ACCOUNT NO.
DESCRIPTION
PRICE
SUB TOTAL
SALES TAX
AMOUNT
DRIVER
LEFT PLANT ARR IVE JOB
WATER ADDED ·c
The seller assumes no responsibility
for strength and/or quality when water is
added at customer's request.
3 -.v ..
DELIVERY TKT. NO .
DATE
SOLD TO :
SHIP TO:
UA--.. CUSTOMER ORDER NO .
ACCOUNT NO. j_'~l .. QUANTITY
; (_
DESCRIPTION
PRICE AMOUNT
--------~-----------
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TIME
TOTAL CU . YD .
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Rec'd By
SUB TOTAL
SALES TAX
TOTAL $
□CHARGE
LEFT JOB WATER ADDED TESTS MADE
The seller assumes no responsibility for strength and/or quality when water is
added at customer's request. DELIVERY TKT. NO.
DATE
SOLD TO:
~-·. : ;. · .. ! ' ·, -; '·. ; -' .: : . ' .
SHIP TO :
CUSTOMER ORDER NO .
QUANTITY
DESCRIPTION
PRICE
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TOTAL CU . YD .
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TOTAL $
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PLEASE READ BACK BEFORE UNLOADING
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.~ATs.t< ADDEO
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The seller assumes no responsibility for strength and/or quality when water is
added at customer's request. DELIVERY TKT. NO. , -:, .. , "-:
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SOLD TO:
SHIP TO:
u.i --CUSTOMER ORDER NO.
,. ~_:_ QUANTITY
DATE . ,. .,,,
ACCOUNT NO.· .. ,.! '. -~' \ . ,._i ...
DESCRIPTION ' PRICE AMOUNT .
ARRIVE JOB LEFT JOB
ST MAD
The seller assumes no responsibility for strength and/or quality when water is
added at customer's request.
1 :;,,,,:··: ;,
DELIVERY TKT. NO.
DATE
SOLD TO 1: . , .:
SHIP TO:
CUSTOMER ORDER NO.
ACCOUNT NO. • t .•••• •·:•,.
.,·,
j OUANTITY
DESCRIPTION
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TIME
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TOTAL CU. YD .
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TOTAL $
I
Rec'd By _______ , _________
_ Driver -------------,
PLEASE READ BACK BEFORE UNLOADING
OFFICE COPY
I
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DRIVER
L.C~e-LEFT PLANT
/~;Jo
ARRIVE JOB . LEFT JO
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TESTS MADE
The seller assumes no responsibility for strength and/or quality when water is
added at customer's request. DELIVERY TKT. NO.
DATE
SOLD TO
SHIP TO:
CUSTOMER ORDER NO.
TRUCK NO.
TIME
TOTAL CU . YD .
MIXNO.
DESCRIPTION
:71/J;'ll __ Rec'd By ____ ~/,)_....,,,__/-LL.:_/,___~/ ______ _
ACCOUNT NO.
PRICE
SUB TOTAL
SALES TAX
PLEASE READ BACK BEFORE UNLOADING
OFFICE CO;=>Y
AMOUNT
lou 10 .
Qlef:Je Lu ·b s
·:.~ ~'L.~·:.:."' ~~~~"'!f -'
. . . ~-. ~,~ ...
PHG.N.E: (262) "38-61.,_
TERMS: 0 CASH O CHARGE
ARRIVE JOB LEFT JOB TESTS MADE
ponsibility for strength an
added at customer's request. DELIVERY TKT. NO.
DATE
SOLD TO:
SHIP TO:
CUSTOMER ORDER NO. ACCOUNT NO.
TRUCK NO.
TIME
TOTAL CU . YD.
MIXNO.
DESCRIPTION PRICE
SUB TOTAL
SALES TAX
PLEASE READ BACK BEFORE UNLOADING
OFflCE COPY
AMOUNT
'ro•· . ~ -· .. -a. ~ ~-~,o-· ·==---: -'=:" ~ .--: -=-=--: -~-. --·-:-·-.-·_ ... -:_---. --·· ··--= .=.
/'I". .:.:,-·-. -. ·-. -· ·--------~ __ ,____________ . . ·--. • ..
,j ., ec'.~~~:~~ 1Cg~>~;~(~~~~~~~ ~--~
PLEASE READ BACK BEFORE UNLOADING
OFFICE COPY .
ARRIVE JOB L . JOB W ATER A-O-O~E=o-,--:;Ti="ES"1TCC:S:>MttA~Dii=E---.
.:::::)
These ler assumes no responsibility for strength and/or quality when water is
added at customer's request. DELIVERY TKT. NO.
DATE
SOLD TO
SHIP TO:
CUSTOMER ORDER NO. ACCOUNT NO.
DESCRIPTION
RUCK NO .
TIME
OTAL CU. YD.
MIXNO.
Rec'd By
OFFICE CO?Y
-I fl
PRICE
SUB TOTAL
SALES TAX
AMOUNT
1' ''
The seller assumes no responsibility for s rength and/or quality when water is
added at customer's request. DELIVERY TKT. NO . ·.,_'i;: ; .
DATE
. .• _ I :·,' .1. ,
.,··.
SOLD TO:
t:.
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SHIP TO:
CUSTOMER ORDER NO.
ACCOUNT NO .
QUANTITY
TRUCK NO .
TIME
TOTAL CU . YD .
MIXNO.
DESCRIPTION
PRICE
SUB TOTAL
SALES TAX
TOTAL $
PL! ASE READ BACK BEFORE UNLOADING
OFFICE COPY
AMOUNT
TERMS: □CASH ·□CHARGE
LEFT PLANT
/!.' t{~
ARRIVE JOB ,z: 0~
LEFT JOB :ao WATER ADDED
0
The seller assumes no responsibility for strength and/or quality when water is
added at customer's request. DELIVERY TKT. NO.
DATE
·'i
I'
SOLD TO:
SHIP TO:
U 1 _ CUSTOMER ORDER NO.
ACCOUNT NO .
1 /,r,.--------.----------------,
-
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,;_ 0,' QUANTITY
DESCRIPTION
PRICE AMOUNT
1· ----+--------------------
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TRUCK NO .
TIME
TOTAL CU . YD .
MIXNO.
Rec'd By _ ____,,,_&1/Z-,,......,...._/ /2__ _____ _
SUB TOTAL
SALES TAX
TOTAL $
Driver ___________
_
I.. ~ •• /!;;"' ,;
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".' \;.~· ~\ :"··
1 .,PM ~-.... .,-._-. ,?.:.--... n~. ~{, . .;,~, ... .
TERMS: □ CASH O CHARGE .
ARRIVE JOB
12. 0
LEFT JOB TESTS MAD
The seller assumes no responsibility for strength and/or quality when water is
added at customer's request. DELIVERY TKT. NO.
DATE
SOLD TO:
SHIP TO:
CUSTOMER ORDER NO. ACCOUNT NO. u ?i ----~-------------------......-----......-----
. ~\ QUANTITY DESCRIPTION PRICE AMOUNT
'ff
.'. ~ ·----+-----------------------+------+-----
TRUCK NO .
TIME
TOTAL CU. YD .
MIX NO.
SUB TOTAL
SALES TAX
PLEASE READ BACK BEFORE UNLOAD
OFFICE COPY
!I_ •. "--~· --.,;. __ -· __ --::--·=~--=--=::-::-:_~~.-~~~ .... ~---. -:-<7 -:::::.;;~---."':'
~ ~ . ·,--
e~'d By ---,-::;.-~1~~~~-r;:?~=-~~~=-==-~~--
PLEASE READ BACK BEFORE UNLOADING
OFFICE COPY
.ODED TESTS MADE
The seller assumes no responsibility for strength and/or quality when water is
added at customer's request. DELIVERY TKT. NO. 1 :~;1:,,; : I Ji
DATE
SOLD TO: 1i,i .HJ!<'. Lnr~i :h:::.:· i L ::::1:~Ht) J Cl.::!:_;
;;~_:_:,;•·::~(:.J J l~{~f~f·\L.i·~ l __ :l_l_ l._{-)l··,J!IF":1.1 .l
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SHIP TO: ~:-; :: 1 ~-,, 1::.
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TRUCK NO. r.Pli·: l l·'l.i!Y
TIME :, ) :: i , : :. !!11.·1
,..,-;, .~ ... ~~--· .. -,.:.-... :i.
TOTAL CU . YD.
MIXNO.
l 1/1 / i:'IZ:.' ;~::1d_11i.1 l
ACCOUNT NO. ~ .. ul,.::'.
SUB TOTAL
SALES TAX
. AMOUNT
TOTAL $ ( \ l
'd 8 1.
y ,("; Rec'd By
j:
i OFFICE COPY ,m-.-.... <i ' !~~;~~~~f~-= --. .. ..,,
: ';i; . PLEASE READ BA(;_.K J!EFQRE ,U~LOADJNG · .. -
i\t~ · .: ,~~;r(".iAl .~--·_ -. · . , -3/ ·~ .;~¾iJ~~rt~t~~~}: Hf
1?,.RIVEf LEFT PLANT
. I 11 "'/·· f ',.J I , _,,, ,;; ._/
ARRIVE JOB LEFT JOB TESTS MADE
The seller assumes no responsibility for strength and/or quality when water is
added at customer's request. J ~·. DELIVERY TKT. NO.
DATE
SOLD TO:
,, ,·. ~ ; -'; -; ! t \I
SHIP TO:
CUSTOMER ORDER N,O., " . ·
QUANTITY "' :},,-if ~: 1
. , DESCRIPTION ..
TRUCK NO.
TIME
TOTAL CU . YD.
MIXNO.
Rec'd By
,/ ;" 'I_~) .. .-' (,::.1ttJ _;
PRICE
SUB TOTAL
:·':>~ SALES TAX
TOTAL$
AMOUNT
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TERMS: .;□CASH □~HARGE "--~
ARRIVE JOB LEFT JOB TESTS MADE
seller as umes no responsibility for strength and/or quality when water is
added at customer's request. DELIVERY TKT. NO. J ::-;, ._ ·• , .,
SOLD TO:
I ·1,,;.
I , :' :-::.:! ;,
SHIP TO:
CUSTOMER ORDER NO.
UANTITY
. !,
DATE '.· .· i ' '.,_;;J :l
; \·
ACCOUNT NO.
DESCRIPTION PRICE
SUBTOTAL
SALES TAX
.AMOUNT
'I
The seller assumes no responsibility for strength and/or quality when Y1ater Is
added at customer's request. DELIVERY TKT. NO. 130354 ·
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SOLD TO:
SHIP TO:
DATE 1 V.1 / i? ;:~/;?I/I~) 1
BLAIR CONCRErE SERVICES
#5~01-WARREN CD. LANDFILL
1401-A DIGGS DRIVE
RALEIGH, NC 27G03
bAitJL:
CUSTOMER ORDER NO. ACCOUNT NO.
PRICE ,AMOUNT
111
Ii, .... \ ___ __._ ____________________ -4-____ __J ____ _
~ TRUCK NO. T rn<
Ii! i~T~L c~' $~ '4
''
l':.t ..
SUl;3 TOTAL
SALES TAX
/J MIX NO. ;~.i--------~-+---'c::,::::,,,"'---___..,,,----+--------~.:.:::..::::.::---+--'-:-------
',
\ ,f Rec'd By-----~-~-=::::-~---_-_-_-__.-:,,..,,. ___ _
'. ~ ! I''
Iii
i' ,, OFFICE COPY
·--··-, --~ -------· ._ --------==-=-==
. . --,_~-~·-~~-..-~~i; --. --==.r..:za:,
w-,;,",_.:·~
The seller assumes ·nc{responsibllity foi ·•tr.ength ·and/or'quality when water. is
added .at cu~tomer's request. · DELIVERY ;KT_ NO
I
t ·=· ·-::-.1 ·=· _ : 30355
DATE 1 <z., ,_, __ ,_. L.'2111..1 l
SOLD TO:
BL.hJ t? CONCl<t :: IE LC F/\_! I LES
:r/:~',cih j ···l·J1::iPJ{El,J CU . LJ --il ,JD F EL: ..
SHIP TO:
CUSTOMER ORDER NO .
ACCOUNT NO.
DESCRIPTIO~
RRJCE .-AMOUNT
P/3 J. .... C. Bn .::i M 1 'X
TOTAL $
The $~.lier assumes ·no r~spo~~fi?Hlty fot st~.ng~ •~dio:r :q~,aitt,y wti.~~'°'.-ter la
added at customer's request. · oeuv~RY T~. NO. · · · · 13035& · · ·
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SOLD TO:
SHIP TO:
DATE 10/23/2001
BLAI R CONCRETE SERVICES
#5901 -WARREN CO. LA NDFILL
1401 -A DXGGS DRIVE
' ~ CUSTOMER ORDER NO.
ACCOUNT NO .
l; QUANTITY .. z . . ' DES.PRIPJ.ION · .PRICE
•, ....
SUB TOTAL
b .. 0(1\i'~ SALES TAX
AMOUNT
· The seller cissumes no· responsibility for strength and/or quality when water ls
added at customer's request. DELIVERY TKT N01, 1
·:~-7
,, ·:,,· \30.357
DATE lfl., ...,.,_,, ,_.Zltl<l
Ui.f; ( h' C(klC!~t:TF :}Cf?l) J CL!.~
SOLD TO:
, ~-t":;···:,~>1 t..,-!.:!-!::-.r·,-.. ! c·~·:
i
''
SHIP TO:
!
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CUSTOMER ORDER NO.
ACCOUNT NO.
i "-'' ----~----------------------~------,------,-~ ..
r'., /! QUANTITY
., ,..;.;~,. l ,-:, u, I,'~
.J--· I. •.. 'I. . ·, ;}::~ l1,1l;;/J)I
r:-t • ·vr ·:r-{J.1:.
DESCRIPTION
PRICE .AMOUNT
; . . . . '_. · 1 ··· ,ti:t.aili"!SE
• f . .
. -
The seller assumes no responsibility for strength and/or quality when water is
added at customer's request. DELIVERY Tt<T. NO. 1 3 0 3:':,fi
DATE 1 lb /;:-:~; .I c'.f!I('.! 1
SOLD TO:
SHIP TO:
. ~-1 ' ! -I ; ,t I \:
...
'The sener ~ss . es no responsibility for strength and/or quality when water is
added at customer's request. 130:S:'.'i9 DELIVERY TKT. ~O. , .·, ... , . . . .. . . DATE _If.I/,-: . .:,/ c.lc:.tltl l
SOLD TO: )~·./ ... •. : .. j::!..:UL.l'-: .. -ir)u f-
; .. .,,.,·_i u . •·it_:·· J)i•:I ,_,•;·
SHIP TO:
CUSTOMER ORDER NO. . I .. -ACCOUNT NO.
OESCRIPTION PRICE AMOUNT
'..> .. ·, I f.-•;. '
TOTAL $
Driver ____________ ___;. __
EASE READ BACK BEFORE UNLOADING
OFFICE COPY
. ,--~~---. . . ·-. -----=---------
-,_,__~~ ~ ~----
.--=--? -. --·
The seller assumes no responsibility for strength and/or quality when water is
added at customer's request.
13(~1 .?;C.1t1
DELIVERY TKT. NO.
SOLD TO:
SHIP TO:
f.:: ( '1 , L-;. ~ . I ~
·:-~i--ilri;~:
CUSTOMER ORDER NO.
QUANTITY
DAIT 1~/23 /200 1
j .JJ
ACCOUNT NO.
DESCRIPTION
PRICE AMOUNT
.. ~ ...r·-: _T_R_U_C_K_N~O-. -. _,-; -! 1-... -j-. ,-.. -----------------1--S_U_B_
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. · TOTAL:
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.
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.. ·-----.. -----------------·-------
·:-=-~~:-=--------~---~-.. -·.-. :-~ _; ___ --=-~:-=.·-. -..::...~-~
--------:· -------
-===--~
i
. .
The seller assumes no responsibility for strength and/or quality when water is
added at customer's request.
SOLD TO:
'· .• 1.•.-·,.,
SHIP TO:
'
CUSTOMER ORDER NO.
. QUANTITY
.. i -._.:, 1 ,,. t}: '+v:1/.,.:., , .. f .
TRUCK NO.
TIME : 1c!c.
TOTAL CU. YD.
MIXNO.
: l (.; ! I ,I;•
': .: ...
DESCRIP.TION
ACCOUNT NO .
PRICE
SUB TOTAL
SALES TAX
PLEASE READ BACK BEFORE UNLOADING
OFFICE COPY
AMOUNT
The seller assumes no responsibility for strength and/or quality when water is
added at customer's request. DELIVERY TKT. NO. 130:\f.-i:'.
.. ·,1 ; ·-::, ·~: i -~·f/117! i
SOLD TO:
SHIP TO:
CUSTOMER ORDER NO.
~ QUANTITY
TRUCK NO. ,:,-.1,: -, :-·/ J;
TIME ~, ,;_,,,:.::
TOTAL CU. YD.
MIXNO.
DATE 1 L . '··.' ' . '-· '-,. •.
DESCRIPTION
.,,.., ;.~--
/ t-/
;._,.
ACCOUNT NO.
PRICE
SUB TOTAL
C ..• C,i. :::,: SALES TAX
TOTAL $
'"'...--..u::i ......... , BEFORE UNLOADING
OFFICE COPY
.AMOUNT
. "":7~-5# ~-~~~~:?c--' .....
·-~~~~------
~(~ ·~:1 t;~_.p,;c i,.1-l!. h.Jv 11Jd~.i-J .. ·~ 4..•1 ·.:: ,. , ~-; ~.·-~:: .. Jr. ........ , , , . ,. , .1e1u,,:\ 1uu ~ 1 1;'\... 1 ,.... 1 .. ;_,. •fJcJ !./.1, ,, • • •• :: , :, ,i,.,,..,µv q,,~:.• '-'P1::.u1 J;Jn • -, .. -., .... ,,._.,, ,.,:,, .,. ,.,· .• -·sou,ppnq '<'>jjBN op ,. -5' , \1'-'/J vj f),UIJ'1P.<'J U<.i(.j/)1\ .. ,.,, 1 t :·5t ~•f'.,-:!' ' I · ... \ !;;) oi a :> • • • : ·, -, ... • .,...f~) ;;;fiHt!i 't_iJ -1/?0tip,l, 1' ••
> 'l I
added at customer's request. , . . . . , 1303&3 . · .
DELIVERY TKT. 'j_'Qi ; ·=• ·:--, ·=-eu~ 1 DATE . , .. .,:!>/ c . -
SOLD TO
SHIP TO:
TRUCKNO. ·:
TIME
TOTAL CU . YD .
MIXNO.
PLEA
ACCOUNT NO.
DESCRIPTION PRICE
SUB TOTAL
SALES TAX
TOTAL$
·AMOUNT
Driver ---------------.
READ BACK BEFORE UNLOADING
OFFICE COPY
The seller assum·es no· 'responsiblJlty fQr' •·trength and/or quallty when water \•
added at custpmer's request. DELIVERY TKT. N~. , -::, -•. i ·:::,. 1 303(:. 4 ·
DATE lll , '--~~-•-:Z11Zl1
SOLD TO:
,·
SHIP TO:
ii CUSTOMER ORDER NO.
·1 Ii QUANTITY
;.,; 1; u_ ,z:u1
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I ; : :
I . ! I
JI ·~ TRUCK NO. ; .:: H-:
'1 -· : 1 TIME .:., ·, ::,, · ,;;, ,:
ACCOUNT NO.
DESCRIPTION PRICE
SUB TOTAL
SALES TAX
AMOUNT
I I ' TOTAL CU . YD .
I • -. ' I "!L:;.~....:M~IX!....:N~O=-. __________________ .,___T_O_TA_L__;.$ __ ,,_. __
1-:··, , ; : Rec'd By _________________ _
, i I
Driver _____________ _
: PLEASE READ BACK BEFORE UNLOADING
I ; '
i : OFFICE COPY
~~~~£:±.=c~•·••_:_~:_·~•-~--~C~=:~~~~ ~-
___ ---~----:-= ~ii~ ~~~~
• I -: The seller assumes no responia
added at customt:!r's request. DELIVERY TKT. NO. . . . · ... ·
DATE 10/23/2({J01
/:.
,! ' I I
,'·•
SOLD TO:
'' SHIP TO:
Lii._,:; 1 U ,_;u ;,ICR ::T c ~:;:::-:;,:ti J CEf,:;
'(l· :·5( · .. ~~~: -·:-.h --, !·'. • .~::~:_r·i LLJ.. r~=-~; ;1_: 1 l .
. ,.·1.
1.:
/ / :. • CUSTOMER ORDER NO.
: ';._1 .
:. \ :t.·._.
; f1 /i QUANTITY
,-,. "' ) . ' i,
: G/',
'1~·'
f. '
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TIME
TOTAL CU . YD .
·;_11 MIX NO .
DESCRIPTION
ACCOUNT NO.
PRICE
SUB TOTAL
SALES TAX
TOTAL
AMOUNT
i
!
I I
' I !
.. h;:.l¼..;1'J\ \tjU(J\;!j.JfJ\j ·1..1.•1 ·1'...J \.),_:!~·,li; .i (.:.q .... , ... , '-. ;J..:.:.i '.:i1..,, .... ,,,A :l j_j ~ ... ;-1,'.
·sbu~p\!nq ·s~1t:,V\Ltµ!~ 0~ v GBLCBP j.J7 />.l!i!~1~...i0.:.:SoJ Lu ,:;~.1:..~-~ ... -~i'v-·. . '' ',\ii
SOLDTO:
SHIP TO:
I
. ,, . • ....... '._: ,_.;-:__f:...:., ••.
BL .AI R CONCRET E SER~I CES
#5S0 i -W~RR EN CO. LAN DF I LL
140 1~A DIG GS DRIVE
.. Vi)LF IGI l.) i~C c'7 (,Q:1:,;
(iHME
CUSTOMER ORDER NO.
ACCOUNT NO.
1 U. ·Qi1Zl YDf3 4 ,,:1Q)1X1 P~3 I ···· C, HAG M 1 >;
( i I
1I j
11
'I ,,
I
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~:-:;::;:;.-;;::;-;:;--;:7~771'""i'i5"-=,-T:',,iiTV~------------+----L----,-,c-=-----,,--,,....;
I . TRUCK NO m .m TF<LlU <, --, (
11 TIME B :· 3l,.: L1-:i .:::. '..(J
1 I TOTAL CU . YD.
SUBTOTAL
SALES TAX
I \ MIX NO.
TOTAL $
......:.:.:.:.:...:c..:...:..=..:... _____________________
.,___ ____ .;__ ___ _
I ! Ill
I I R 'd B j 1_L ~ 1 ,,,(,}__
Driver ____________ _
I I ec Y ----f-...,,.),...__ -~-+J~t> .......... ..._ ______ _
I j PLEASE READ BACK BEFORE UNLOADING
/ I
. OFFICE COPY
1. !
--~==--~:::~-~-~--~ -~~::__:_· -~.~ ~. ~-~ ~-~~ . ~--.
The seller assumes no responsibility for strength and/or· quality when water is
added at customer's request. DELIVERY TKT. NO 131l•412.\3
·1 ;-;I ,' •.:, •' I ·::";Iii[ < DATE 'L .' , _ __, ! ·-~ ,_ .l
'
ii I; I
!
SHIP TO:.
H-fl .i. ·H LI :. :A3S
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'.:il-\ML: .
••.J ," I{' •. ::• -------
J .... i.:: .• ) .. J -----
DESCRIPTION
r '-· I
i
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TRUCK NO. I ... \
TIME t, ~ =-/5 ~ l:.1 .:.,
TOTAL CU . YD .
MIXNO.
!j ! i Rec'd By _______________ _
ACCOUNT NO.
/
/
PRICE . ,
SUB TOTAL
SALES TAX
TOTAL$
iii.: ', I
I ' 'I
PLEASE READ BACK BEFORE UNLOADING
11 : . / OFFICE COPY
AMOUNT
..:.=-· "s:~::_ ~:?t::i;~==-~--~-:: . ~ -. " .•· .
e seller assumes no resporsibility for strength and/or quality when water is
added at customer's request. " DELIVERY TKT. NO. 1 3t~L,i!1 :~,
DATE ~. ,/1 / ;.-_:: :~~ / ~~: ,;::t tlt 1
SOLD TO:
SHIP TO:
CUSTOMER ORDER NO. ACCOUNT NO.
I _ QUANTITY (1 ,.,i, ,/,.'.
1.-·r
I
DESCRIPTION PRICE
SUB TOTAL
SALES TAX
PLEASE READ BACK BEFORE UNLOADIN
OFFICE COPY
AMOUNT
'The seller assumes no're!:;ponslbility for·strength and/or qua\\ty when water \s
added at customer's request. · DELIVERY TKT. NO 1301+06 ·
DATE ::_ c, ;' :? :.3 / :'.:'. li..'HZI l.
SOLD TO
SHIP TO:
CUSTOMER ORDER NO. ACCOUNT NO.
AMOUNT 't OUANTITY DESCRIPTION PRICE
.-•
TRUCK NO. · :1,. SUB TOTAL
TIME l ~'.-SALES TAX
TOTAL CU . YD. ·-.....,....._.u
MIXNO.
EASE READ BACK BEFORE UNLOADING
OFF\CE COPY
The seller assumes. no rea.ponslblllty for' strength and/or. qu.ilty when water\•
added at customer's request. DELIVERY TKT. NO. 1 31t)L~1Z17 ·
SOLD TO:
SHIP TO:
CUSTOMER ORDER NO.
_ 1-1 •.·-
TRUCK NO.
TIME
TOTAL CU. YD. (
DATE 1 t,'.l / :::::.:::: / ;:C:iL\Qi l
ACCOUNT NO.
DESCRIPTION PRICE
, __ )i._l _
SUB TOTAL
SALES TAX
AMOUNT
i11• MIX NO. ' TOTAL $ _.!!!.!!.!..::..!.::::.:_ __ -1,...;:::::, _ __,f-_--,-____________ ---1,=--__:_-=..::.:..:.::....:::....__ __ .:..._:....___
EAD BACK BEFORE UNLOADING
OFFICE COPY
. I'
The seller assumes no responsibility for strength and/or quality when water is
added at customer's request. 1 3~1'-1 1 1
DELIVERY TKT. NO. .
SOLD TO: .:i ! .. i
SHIP TO:
CUSTOMER ORDER NO.
.·1 '-·
TRUCK NO. ',,_;,.
TIME
TOTAL CU. YD .
MIXNO.
DATE 11/t / ,: ::.:, / ;,::1/iV) :l
ACCOUNT NO.
DESCRIPTION PRICE
SUB TOTAL
u1.-:,·;-. SALES TAX
TOTAL $
AMOUNT
--
11:: s1 .p0ppL' JG18t!\ Au-., . LjJ 6ua1is 1.11 ----, --Tt,1 ;·; ']·~:~;i;--1·~;;/:::.~&t :;·_; ;~.~;----
J<lJ_eM l~U0!l!PP\f :qmo ap1s u1 J6N , .,,.., lµc:11 ll!M "'1,uouop:7~~li Sl P<'J.,pe
'S6U!Pl!nq 'S)jieMap1s:0+' af5eL.1.J.E p~:~l~:/.'}O~.~<\. ... -:~~:~e · ' -, ,. . .
' '.. ,.,r ·"' --; ,.•. ·.·
The seller assumes no responsibility for strength and/or quailty when water ls
added at customer's request. DELIVERY TKT. NO. 1 :.:.;0,:~ 1 ;:'c:
SOLD TO:
SHIP TO: ·:;·
CUSTOMER ORDER NO .
.. -1 QUANTITY
DATE 1 i_;,/;:"<3/i'."~li:)ii:)i.
i · ....
ACCOUNT NO.
DESCRIPTION PRICE
SUB TOTAL
SALES TAX
.The selier assumes no 'res onslbliity for,sirength and/or quality wh_en water is
added at customer's request.· · .1_ -;_, ...... .--•... •. __ -._.,· DELIVERY TKT. NO. '--
SOLO TO: •·
1 · __ :
[', .,
SHIP TO: ::_.}-/!• ..
CUSTOMER ORDER NO.
•:QUANTITY
•· ,_ .. _
TRUCK NO. TIME
TOTAL CU YO. MIXNO.
Rec'd By
DATE i •LI -,· ;-~• · ·,; / ;-:'.iiJU .
ACCOUNT NO. -•c• ·' DESCRIPTION
PRICE
• ,._ J SUB TOTAL
SALES TAX
TOTAL$
AMOUNT
-.:·.--,'
--------====:.__ ___ _
Driver PLEASE READ BACK BEFORE U_N_L_O_A_D_IN_G ____ _ OrFiCE COPY
,·,
I. : '•; :1. ··' . ·r .•.. j , .t..!
The s lier assumes no responsibility for strength and/or quality when water is
added at customer's request. DELIVERY TKT. NO . i ~0:;(:,111 :l
1
: I_ 1/I /? 3 i ;?QIV,1 :":.
DATE
SOLD TO:
SHIP TO:
ACCOUNT NO.
CUSTOMER ORDER NO. AMOUNT
DESCRIPTION
PRICE
Driver ______________ _
Rec'd By __________________ _
PLEASE READ BACK BEFORE UNLOADING
OFFICE COPY
~~il::~~#lfJ~~#~~
The seller assumes no responsibility for strength and/or quality when water \s
added at customer's request. DELIVERY TKT. NO · l ::;,z,t~ 1 e
SOLD TO:
SHIP TO:
CUSTOMER ORDER NO.
TRUCK NO.
TIME
TOTAL CU. -YD.
MIXNO.
I • . , .
] .~!: -' -~·· ·:--' ·:::•0 1171 ., DATE ., .. ,., __ . __ . .,L.V .. 'L ..
, .
l t .;.
ACCOUNT NO.
DESCRIPTION PRICE
SUB TOTAL
SALES TAX
TOTAL $
AMOUNT
Rec'd By E= -~::.~-·, · Driver _____________ _
-···-PLEASE READ BACK BEFORE UNLOADING
OFFICE COPY
The seller assumes no responsibility for strength and/or quality when water is
added at customer's request.
DATE
SOLD TO:
SHIP TO:
CUSTOMER ORDER NO.
DESCRIPTION
ACCOUNT NO.
PRICE ·
SUB TOTAL
SALES TAX
AMOUNT
'
The seller assumes 'no responsibility for"sfrength an-dior'quallt;y wnen·w~ter \a
added at customer's request. DELIVERY TKT. NO. 1 2;Q_;i+fc3 ·
SOLD TO
••-' .,
SHIP TO:
CUSTOMER ORDER NO.
TRUCK NO.
TIME
TOTAL CU. YD .
MIXNO.
I ' •··-·
DA~ 10 1 23/200 1
J ; ._ • ~ ' ••
ACCOUNT NO.
DESCRIPTION
I
. :1 .... 1· -·
PRICE
SUB TOTAL
SALES TAX
EAD BACK BEFORE UNLOADING
OFflCE COPY
AMOUNT
I· -------.. -· ----· -----------------~~~;~;;g~~~~E~i§-=-~~~~
~ ---·-··
The sefler'assumes no responsil:>IUty for st~engttf and/or quality when water Is
''
added at customer's request. 1 ::•;1z1t,'L':."· DELIVERY TKT, NO. '
DA TE . l lt:1 / ( \_:.; / ;::'. ILi!.~! 1.
SOLD TO:
; ' l ',.
SHIP TO:
CUSTOMER ORDER NO. "l.,-. ACCOUNT NO.
QUANTITY DESCRIPTION PRICE
....
TRUCK
TIME
TOTAL CU . Y
MIXNO,
SUB TOTAL
SALES TAX
PLEASE READ BACK BEFORE UNLOADIN
OFFICE COPY
AMOUNT
' ---__ ------~..;.._ . -· . : ·--.. ~i~~~~~~~~~~~-
---~.., . ----=--:::-.-"."-_
• · .. .,.,. ••I er••••umeS "no' riie,i0"91billty for streni,th and/or quality when water ls
added at customer's request. DELIVERY TKT. NO. 1 ~<-'-· .,::: > DATE 1_,;;i/:? · .. ,:'.;iJV ·
SOLD TO:
SHIP TO:
CUSTOMER ORDER NO.
_-·;:·--~-QUANTITY
TRUCK NO.
TIME
TOTAL CU. YD .
MIXNO.
ACCOUNT NO.
DESCRIPTION PRICE
.•,:. •.·
SUB TOTAL
SALES TAX
TOTAL$
AMOUNT
The seller assurries no responsibility for strength and/or quality when water is
added at customer's request. 3('.i i-<.:'.t. DELIVERY TKT. NO.
SOLD TO:
SHIP TO:
CUSTOMER ORDER NO.
TRUCK NO. :·•·
TIME
TOTAL CU . YD .
MIXNO.
DATE , V -:,,'.-,/ l
! '
DESCRIPTION
ACCOUNT NO.
PRICE
SUB TOTAL
SALES TAX
TOTAL $
Driver ---------------'
PLEASE READ BACK BEFORE UNLOADING
OfflCE COPY
' . ..:. :~. ~---~~.)~·:·-1.{~:;:·-:.~i-·1 .
e s lier assumes no responsibility for strength and/or quality when water is
added at customer's request. DELIVERY TKT. NO. l : ·
DATE
SOLD TO
SHIP TO:
CUSTOMER ORDER NO. ACCOUNT NO.
·,QUANTITY DESCRIPTION PRICE AMOUNT ;'-' -----+---------------~---------+-------If-------
TRUCK NO.
TIME
TOTAL CU . YD.
MIXNO.
SUB TOTAL
SALES TAX
_ 18',l,,.;o •u
--0\.~ .-,-·,.
The seller assumes no responsibility for strength and/or qua_!J~ when water is
added at customer's request. , -'-_(·.-".'. ·.,-c., DELIVERY TKT. NO. ~ ·-· -. ··· · •·
DATE ' i.'..i . -_. _/ ::Jt}.-:· ..
SOLD TO:
SHIP TO:
CUSTOMER ORDER NO. -·----~----------------------.------~-----
~j QUANTITY
TRUCK NO .
TIME
TOTAL CU. YD.
MIXNO.
·'·'••'
DESCRIPTION PRICE
SUB TOTAL
SALES TAX
TOTAL $
AMOUNT
Driver _____________ _
1' PLEASE READ BACK BEFORE UNLOADING
\ OFFICE COPY ~~:~~~:~~~:~:~~~i
.l1:t' •\ •,
";jl,~:\1-;\~:~q • _.4•11._;;., • .,. •I.• -'i
....... -,~
eller assumes no responsibility for strength and/or quality when water is
added at customer's request. DELIVERY TKT. NO 1 =~o ~·;nv.1
l ~:i ,. ·:::, ";• ..-·:•~7iili ·
SOLD TO:
SHIP TO:
DATE
. ·. _, '---'--'' '-· -.. -'·
)·::1:. f i :t ;:< ;_~:t.}r -...,t-~i·{i:~~-r!::_ :-Jj7 J-{,J 1 :~~F:~-;-
:,.~=:-/:.: .'.1 J ·· ~.1r-:1P ::-:t-::1\! l~.:(_t ,, L .:.;i\!{1 ~·-l j __ j __
i '":· (·.1 1 . r:i f.\ .i: :_.:j ~-j ~-:J 1 ~ ;-< :i ~-) :.::.
r1 .. :t .. L~. :f f;i : I)(·: ~:-/C~I .. :;
CUSTOMER ORDER NO .
ACCOUNT NO .
DESCRIPTION
V1)~) ..:;.:.-:i~?li(j ~)~:)l
1 ~;_:;; ·. (;f:ii\:;
TRUCK NO . f'F:r'.. ,:,. •
TIME t• ~ '.:'.;,· C '_:,;;
TOTAL CU YD .
MIXNO.
PRICE
SUB TOTAL
C., ILt ::J:l SALES TAX
PLEASE READ BACK BEFORE UNLOADING
OFFICE COPY
AMOUNT
The seller assumes no responsibility for
added at customer's request.
SOLD TO:
SHI P TO:
11:)_ 1/l!(.I
:O Li~ H { ·:~rn,,CF:ETE SF Hi J <.::;:~::;:;
ft:.'?:llZt i -·t·HWHE:N CU . LJ:11d)F I LL
1~0:-A DlGGS DRIV~
v oi;; .C:;,Zl !LIIZI PS :r
J ,,.0 vrimJs
·· 6 Hf:-H3 l"ii IX
ACCOUNT NO.
}I
II/
!II
ii 1 'I
iii
!i i
11\ 11.
!/I
!i i
e seller assumes no responsibility for strength and/or quality when water is
added at customer's request.
SOLD TO:
SHIP TO:
.JL.n I I~ CUi'Jc1:{ET1::: !:£RV l t~:c s
=1i':.i':ll'l i ·(-,if'.:irn1·:i-~ CCI.. U -l!'1DF: lL.L.
1.:tt11 -n u j ou::; nn 1 iJL~
t~HLL 1 Gi L. l\!C ,~'/C.ei:-•;
i Ii I CUSTOMER ORDER NO. c.:;~(.-:., ACCOUNT NO . . ii~'-----,-,------------------------------1 QUANTITY · .. · DESCRIPTION
-~-~-TRUCKN,O. _ _(,iH\,T \iUCX. 7 c;-
~-\ TIME b : -~a;. : i H :, _ _.,, ..
·i. \\\,TOTALCU.YD.
~--. MIX NO. ~ ~ I Rec'd By ~.:(1/(;fL_
i ~ 1 PLEASE READ BACK BEFORE UNL
PRICE
SUBTOTAL
SALES TAX
'AMOUNT
'i I; OFFICE COPY
1. l _ .. ~ __ 2'_. ·c,,_ ._ ~..;;.,,...--~$-~~=~~=~
=·
i
T STSMAOE
The seller assumes no responsibility for strength and/or quality when water is
added at customer's request. DELIVERY TKT. NO, , .··· .. , , .-·, ., 1, J 0:,_;,'.:\3
SOLD TO:
SHIP TO:
DATE l V.1; c: ... :./ c!/Jl,;'.1 .l
HLrl f. ~~ CONCRETE '.3F t~•J ICES
#5901 -WARREN CO. LANUF.I LL
1401 -~ DIGGS DRIVE
~;;1::iLL 1 m:~ w ; ;?1r.i:t13
b 1~ME
CUSTOMER ORDER NO. ACCOUNT NO .
UANTITY DESCRIPTION. _'. l .''
H'.I. 00
..,
P:RICE
SUB TOTAL
SALES TAX
AMOUNT
B //); J1 Driver ---------'-
lfL~ASE ~D BACK BEFORE UNLOADING
~;;•-/i ,~'!1,J~• ,W\ .• . . . -· .
TERMS: □CASH: □CHARGE /!frf\ I ;rre511~·qL) [8".' ~ 1 MDED I TESTS MADE
The seller assumes no responsibility for strength and/or quality when water is
added at customer's request. KT . .-.,., ........ ~ .. ,,. DELIVERY T . NO
SOLD TO
SHIP TO:
CUSTOMER ORDER NO.
TRUCK NO. , .. , ,, ..
,! TIME
I TOTAL CU . YD.
MIXNO.
,-_p .
' .. • •... ·
} ;,:1 .... -,?.~-. _/ '.·'..ii:/ DATE
ACCOUNT NO.
DESCRIPTION PRICE
SUB TOTAL
u ;,;.;_., · SALES TAX
Rec'd By _--+-0.__._M....__I __ /L=-----
PLEASE READ BACK BEFORE UNLOADIN
OFFICE COPY
AMOUNT
TESTS MADE
The seller assumes no responsibility for strength and/or quality when water is
added at customer's request. DELIVERY TKT. NO. i 3e1::...:fl::;
SOLD TO:
SHIP TO:
DATE l f/1 /;?3/ ;~:0til .1.
8LAIR CONCRETE SERVICES
ti=5 ')1Z1t •-tH~RRLN CD. U~l\JDFIL.L
1401-A DIGGS DRIVE
RALEIGH~ NC 27 603
~:::nME
CUSTOMER ORDER NO. ACCOUNT NO.
TESTS MADE ~
The seller assumes no responsibility for strength and/or quality when water is
added at customer's request. DELIVERY TKT. NO. . :;<1 ;: t
DATE
SOLD TO:
r '. , I
SHIP TO:
CUSTOMER ORDER NO. -'·•-·· ACCOUNT NO.
,.
,QUANTITY DESCRIPTION PRICE AMOUNT
TRUCK NO.
TIME
I .• ,, .. :.
TOTAL CU . YD.
MIXNO.
SUB TOTAL
SALES TAX
TOTAL $
Rec'd By ___ __,__g4-;/L...l1/Jc...:..t.L...J1/k""'------
PLEASE READ BACK BEFORE UNLOADING
OFFICE COPY 1k:::~~~~=-=-~~~~~s~~~~~:--i~::~~~~~,
~ •:__ .~:~===?~--== ~---~~~~~~~=:_2.zr~=-:--__ ----.. __ .· -=--··
TERMS: :□cAsH· ·□cHARGE
?)~f:--!_~T ~RIVE JOB _JEFT JOB WATER ADDED ,.,'vv ~ ~cc) , ~ C(() UJ TESTS MADE
The seller assumes no responsibility for strength and/or quality when water is
added at customer's request. DELIVERY TKT, ~0 .-......... , J ::,i?i..:;f;,
' . L i /'·,_, -: I ···"ltiili I DATE t . "·· ~-··· '·· .. · ..
SOLD TO: DL ,:, : ::-; crn·-.it:r~L r i::. '.:i! _n;_; r fCb
:W::/;:i,t.lJ. ·1,1i:;;H!: .H CL.. '..(-1,·!'wi: J U .
. '. .. t·i· ·/1 J · -; ... ·. ~) I Ll ·ij :_:::. i.J i<~ J \., L'.
SHIP TO:
li;'1L.L: I !/:,
•-3nr+
CUSTOMER ORDER NO. ·:-:...,· -,'. i' .. _ L-1~ .L,I •-·'
DESyRIPTION
'.J.0 0 YDS 4000 PS J
TRUCK NO. O•.H< ·:, ;,),~;;-'.
TIME i··. :: -~: .' : ·s<'
TOTAL CU. YD .
MIXNO.
(:, ..
ACCOUNT NO.
PRICE
SUB TOTAL
( .. 1,)t-:.l'i-SALES TAX
TOTAL$
AMQUNT
WATER ADDED \EJT~M1.E
0 7
The seller assumes no responsibility for strength and/or quality when water is
added at customer's request. DELIVERY TKT. NO. l ~w1:-•,f',h
j ,;:i .' ·:_ ... i .-. , . .-.•
SOLD TO:
SHIP TO:
DATE . ,_ .' '·-,J ! ,.::.<L '•·' .l.
.Ht..nru Lu1-.1cr~L::n:: ·-;cf:\:Ju:~~J
:if::/J 1/1 1. ;_.d:.it: UFJ,; l.:f i.. I. -~:11•.!L1f · 1 LL
J ,V,l n OI UUL oi::J\JI
l<t'-':t L !. bi I., f·•.tf ;::"/t.t,:'.i
tiHl•k'.
1 ! CUSTOMER ORDER NO. ACCOUNT NO. ~-:·,-------.----------------------........ -------,.-----
~--' QUANTITY
i
·I
DESCRIPTION
d,. l~!lj Y J.J:~j ..:., !/f~✓-10.~
TRUCK NO ,:,u;.; ·: iiULh --;,, s'
TIME :,-:·:: . " I L ->--
TOT AL CU. YD .
MIXNO.
L· ..
PRICE .
SUB TOTAL
SALES TAX
TOTAL $
AMOUNT
The seller assumes no responsibility for strength and/or quality when water is
added at customer's request. DELIVERY TKT. NO J :::.;v12-;9 i;,:,
·1f!11 -.::a ·.-;-,.. ·:::,,;-1rt ·,
SOLD TO
SHIP TO:
DATE . ~ .· , ... ,.J . l ... ,. f. ..•
. l..~L.f~).[F,) CON1.:H1:~·rc bEf<1.!lCE!3
~;:/:l('.l:r (,j (ir<:-'.!J,l co. dil!DFl LL
1 1; -.:u n u rt:; c ~3 i, 1:n 1JC
RALE iGH, NC 2~G03
:?.fWH:-:
CUSTOMER ORDER NO. ACCOUNT NO.
DESC.RIPT<10N PRICE
: i t\ .. (i_ilj
l
r
i1 I
I
/
' !
\'
I !
I
I
, I
SUB TOTAL
SALES TAX
TOTAL $
AMOUNT
Driver ____________ _
I
I I BACK BEFORE UNLOADING
I I ' ------OFFICE COPY
l '~::·~ ~~--------~-~~~~=-~~-~·==. ~-==~ ==---5~-=1~-
. ~-.------~~-=-==:'~~~. -~ ·=._,,-. ~----~-=:-~-~ ~-
I
i i
I
I
I
I i
', . r-( I LA T I ARRIVE JOB I [!Ff JOB I f.et. Ar;o I 'TESTS MADE \
The seller assumes no responsibility for strength and/or quality when water is
added at customer's request. DELIVERY TKT. NO :i J V1 2:•::,::i
DATE 1 •t'.• / (:., ,'.; / ;~tlf!i) i
SOLD TO:
SHIP TO:
{~! _t ·, J :-i CUl'-JC: rH:~T ;: ':>C t~ 1,1 l CF:::~;
➔~~-~:~; 1}, J · t,.J~-lH l<L!•! CU .. t _ri;,.JJJ F I ~-t.
J .:..r~1 l -· :::1 li :1:t:iE;~3 ~.1{,! [V'L-:
i~/:1 L.L J GJ I., J\1L ;: /6 l'I:•:
:·ihi1,E
CUSTOMER ORDER NO. ACCOUNT NO .
UANTITY . DESp RIP.TION
ib ~'.t li.l P2 r
~:A C YHf<liL:
PRICE AMOUNT
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<; , SUB TOTAL
TIME '/ ~ :·_:-,, :: : Jl..' _ _,, --L," (.. QliZ1,:. SALES TAX
\ TOTAL CU . YD.
MIXNO.
i I
, \ Rec'd By ------~......._,.....1.....::..J£-.=::_______ Driver --'~~~~~~~;;:).----t
\ \ \ PLEASE READ BACK BEFORE UNLOADING
. .I I
OFFICE COPY
I ~------------------------------·
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-------. -·----=---=~ :__ _____ .......____ ___ ,
I , ,f ..
The seller assumes no responsibility for strength and/or quality when water is
added at customer's request. 1 ::·:12,::/.1--:,. DELIVERY TKT. NO.
SOLD TO:
SHIP TO:
DATE 1 i,:J / ;:<;; I ;~· 1/a~:'.I !.
lJL.1·:, .t 1:-.'. COI\JCliFTE 13Lt~ VJ 1~:ES
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DESCRIPTION
ACCOUNT NO.
PRICE AMOUNT
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TESTS MADE
e seller assumes no responsibility for strength and/or uality when water is
added at customer's request.
SOLD TO: t(:·::._:!J ,'h} ·····fr~i~:.~H rd.~.~ .. j (~LJ., i __ ;~~!·1-if.>r: .r j_ ~--
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CUSTOMER ORDER NO.
TRUCK NO. UL.ii-! 1 !<i.JU:.
TIME / ~ '.:,b: ___ , ,
TOTAL CU. YD.
MIX NO.
DESCRIPTION
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ACCOUNT NO.
PRICE
SUB TOTAL
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AMOUNT
I
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TESTS MADE
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added at customer's request. DELIVERY TKT. NO. 1 _:,I.:'.~,,, L
DATE 1 Vt i i? a.::/ :?!/i :/t J.
SOLD TO: ,1,,; .1 ·1 1 H cu1 •Jt.:w~:: t 1-. :::iC i< ,,.1 I t~1~.b
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DESCRIPTION
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TRUCK NO. , l':<
TIME .t i ... ~ :-.,, :. J ·)
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.PRIC.E
SUB TOTAL
(:, .. 1t1V1·,l SALES TAX
TOTAL$
AMOUNT
... : \...~ .
,_ ..... , ..
Driver -------------,
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□CHARGE
LEFT JOB TESTS MADE
The seller assumes no responsibility for strength and/or quality when water is
added at customer's request. 0 : .s1i:.,i> ::,.:·• DELIVERY TKT. N .
SOLD TO
SHIP TO:
DATE
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TIME : :i ci, · ~ ::•;
PRICE
SUB TOTAL
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AMOUNT
l TOTAL CU. YD.
I MIXNO. TOTAL $
ASE READ BACK BEFORE UNLOADING
OFFICE COPY
.,
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TESTS MADE
'seller assumes no responsib1 1ty for strength and/or quality when water is
added at customer's request. l. :.\vi..-:1. ;,, DELIVERY TKT. NO.
DATE J. IZt / ;~,: j / ;,:'!LIV) 1
SOLD TO: ,·:.u, 1. ;; ui,,:: .1·+ rL :·:: n 1.i 1 u . :;:.:
:,•~/1ij _i lF:;:,:Ll,.l :.J I (-lhll)i :1L i..
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CUSTOMER ORDER NO.
TRUCK NO. l id\
TIME -~ :l ~ i:.;.':) ;: (.,,,;
ACCOUNT NO.
DESCRIPTION
SUB TOTAL
SALES TAX
AMOUNT
.. ·,.• TOTAL CU. YD.
• MIX NO. TOTAL $ t..--1-~~---~-+-------:::,,,#C--/------,-----'----'-~---'-----
~ Driver ____________ _
(
l OFFICE COPY k-=:r:6 -""-"k E~~:i,-::::-:::c~==~-=~~~-==_::-=_ ...
ACK BEFORE UNLOAD\NG
·. ' ,. . · · . . , .. . _·os•oef?· .. ~'\IJ..-SVAQ ' ···;.:,.1 i:; ,-· · ;. ,, , ,· '..1
TERMS: .□CASH □CHARGE
ARRIVE JOB LEFT JOB TEpTS MADE
The seller assumes no responsibility for strength and/or quality when water is
added at customer's request. DELIVERY TKT. NO. 1 3u.:i ~p/1
DATE 11,:1 / ;-~:~ / ~::Q11,J J
L L.1:11 i-; i :UillL>ir:· ! L bFi~l) .!: tJ.:::~J SOLD TO: 'ff!:.d ti:i J ·· l-.li-:r<fa:, il \0::.: L.iir•.iD}: I L.l
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1 1:1.iD.l.··-(i U.'.bb'.·! Ut~lVF
f'..;;:;1J JUH
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CUSTOMER ORDER NO. ACCOUNT NO.
' : G; QUANTITY . · DESCRIPTION PRICE AMOUNT ,,
10 .00 YDS 4000 PSI
1, -+!;. v r-1 i::o~;
SUB TOTAL
SALES TAX
TOTAL $
Driver ____________ _
PLEASE READ BACK BEFORE UNLOADING
OFFICE COPY
·•:· ,~-~
(252) 438-15144
TERMS: 0 CASH □CHARGE
LEFT PLANT ARRIVE JOB LEFT JOB 1-ZD
The seller assumes no responsibility for strength and/or quality when water is
added at customer's request. :; 3f::, ,, ., .. DELIVERY TKT. NO.
SOLD TO:
SHIP TO:
H~!LC: r CH .,
·:~i\NL..:
CUSTOMER ORDER NO.
TRUCK NO. ; :-'.i·. :. '-l·
TIME 1 :.·,,•1· :_;_;
TOTAL CU. YD .
MIXNO.
DATE
DESCRIPTION
\..·.
J t·.": / ;~~: ~:5 / ;~: t:J ;,:t t
ACCOUNT NO.
PRICE
SUB TOTAL
t:, .. •~l!f.iJ'.. SALES TAX
TOTAL $
AMOUNT
Driver ____________ _
D BACK BEFORE UNLOADING
OFFICE COPY
,. ' .. ·i . .
Tf=RMS: ·. 0 CASH O CHARGE
LEFT PLANT ARRLVE JOB LEFT J(;)B WATER ADDED . TESTS MADE
/ 2..'S-:) I I
The seller assumes no responsibility for strength and/or quality when water is
added at customer's request. DELIVERY TKT. NO. '": •;u,.,,. >
DATE J" f/f f • ;? ~~; / (? IJ)(?! -~
SOLD TO: -;:~_/:,1:1t -1,,.in r::,:1: 1" · t.·t 1. i:(,,~)1 ·:iu
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DESCRIPTION
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.:\[.:\ __ . -,-i·.-,r.~:u:·_{ t--it,ir i ;:-~L:1 r,. I t)(-_;
ACCOUNT NO.
PRICE
SUB TOTAL
SALES TAX
AMOUNT
The seller assumes no responsibility for strength and/or quality when water is
added at customer's request. DELIVERYTKT. NO. 1. ~-•.'''•;'1 .
SOLD TO:
SHIP TO:
f '.,· :!. .. !·:: J l. i!·} ._1
~-:~,(:i•iL:
CUSTOMER ORDER NO.
DATE i.1/l,-i:~-.,;/,~·;,_H,,1 J.
ACCOUNT NO.
DESCRIPTION PRICE
TOTAL$
AMOUNT
•. ,,,., tl,_··''·'1•:i'
□CHARGE
LEFT JOB WATER ADDED TESTS MADE
0
o responsibility for strength and/or quality when water is
::·
r's request. J. 3 1/!"i ,: / DELIVERY TKT. NO.
SOLD TO
SHIP TO:
i <1 .; .• !. ! f:jJ i.,
~:_;::Ji:L:.
CUSTOMER ORDER NO.
.""!•,·-} f ,.:·.
DATE J. 1/t / ,:.:·:::.· ;'.!,JILi L
ACCOUNT NO.
DESCRIPTION PRICE AMOUNT
i!~'.'""""C~-:--'--:---------------------+-------L...------4 11 TRUCK NO. l:i .d:: ;,;:t_:;;l'.
TIME .. 1.'·:: ... ::
TOTAL CU . YD.
MIXNO.
PLEASE READ BACK BEFORE
OFFICE COPY
.,
. q,-~. / :. . .
TERMS: □CASH □CHARGE
ARRIVE JOB LEFT JOB
{2..1..l)
The seller assumes no responsibility for strength and or
added at customer's request. DELIVERY TKT. NO, , .. , , ... i :.:i1 '; ~. 1
l. i i ...... ·'t. l .. •,.,,,i I
SOLD TO:
SHIP TO
CUSTOMER ORDER NO.
TRUCK NO. ,_rt :;: T F:d'.::i
TIME j '. :. :1 :' .. ,: · ·. L
TOTAL CU. YD.
MIXNO.
DA TE . '. . '-' '· .. '--.
QESCRIPTIQN ~ ~-· \i ··• '· • . '.'
( .,
ACCOUNT NO.
PRICE
SUB TOTAL
SALES TAX
TESTS MADE
Rec'd By / Driver --..-:::;t::.===--L..p:.:::::::....::=:=~-
1 i I OFFICE COPY
.. --=-'!=-~~ .=::...:..: &:l:::i~-=.~~ :.~~ ... --. ---· _. =-•=-=-~
P.O. BOX 680 • HENDERSON, N.C. 27536
PHONE: (252) 438-5144
ADDED TESTS MADE
The seller assumes no responsibility fo
added at customer's request. DELIVERY TKT. NO.
DATE
SOLD TO
SHIP TO:
CUSTOMER ORDER NO. ACCOUNT NO.
DESCRIPTION PRICE
TRUCK NO.
TIME
SUB TOTAL
'" SALES TAX
TOTAL CU . YD.
MIXNO.
PLEASE READ BACK BEFORE UNLOA
OFFICE COPY
AMOUNT
...... 14'
r. ::.tr-~'.--;,.;:;,·· . , . . .
. . "' ·TERMS:··□CASH □CHARGE
. . I i et&~ u ~!r . , tt:o i :so~o i TESTS MADE.
The seller assumes no responsibility for strength and/or quality when water 1s
added at customer's request. DELIVERY TKT. NO. ! .. :Si/,'.:,>~
DATE 1 ,>J / ~~~~·\,/~-:'lb ... ) l.
SOLD TO:
SHIP TO:
CUSTOMER ORDER NO.
TRUCK NO.
TIME '·
1 TOTAL CU .
MIXNO.
DESCRIPTION
ACCOUNT NO.
PRICE
SUB TOTAL
... 1:'ll!.I~~ SALES TAX
PLEASE READ BACK BEFORE UNLOADI
OFFICE COPY
AMOUNT
·~~~ :-·-~-.~~I~=~~;~~~-~.:/ .. ~~L ~ L ... ~-.. -~~~~-.. ~--~ ~-· .. ~.
c~rh~ /};'!?i li~Ua :/;)~Z I WADDED TC)MADE
The seller assumes no responsibility for strength and/or quality when water is
added at customer's request. DELIVERY TKT. NB~ ..... , .... 131/if.l/ic· · M / · .. ,1-.. , , ···''""' 1 DA TE ,. ' '··· .. ' '•·· .,_,.,_.
SOLD TO:
SHIP TO:
BUU I~ CD/\IC/{l•::T E ,:;c H •.' ; c ~ ::;
#'.:/:H)J ·-l,,lrHHEh! i.:U. 1. ;1i-,i,1 ,,
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r:r;t ... r· L r~;-'i .. !\u~. ~~·-.: (:(~i ..
>-~;;::~:-it
CUSTOMER ORDER NO.
DESCRIPTION
\' 1.'...::.; -•i·1/)V.t1/.f i-'~::-.:
·I ....... p_ -~·-,i· ~-:~-\ .. f::L..LJt1J)-:.
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TRUCK NO. Ui.!.i fi<ULI
TIME i :: .:. i"!. '.: -·· '. !
--z -; J __ ,,
TOTAL CU. YD.
"MIXNO.
ACCOUNT NO.
PRICE
SUB TOTAL
SALES TAX
PLEASE READ BACK BEFORE UNLOADING
OFFICE COPY
AMOUNT
----~-~~~~~;~~ -~~:~~~--:~::;~~ L -~~~*-:~~-~~~ ::~:~-:3:-'
------~~-
_§ ____ .. ,-.. -. ------. . c::__,: ---'~:--. ::~ .. - .
SOLD TO:
SHIP TO:
CUSTOMER ORDER NO. ACCOUNT NO.
TRUCK NO.
TIME
TOTAL CU . YD.
MIXNO.
DESCRIPTION
PLEASE READ BACK BEFORE UNLO
OFFiCE COPY
PRICE AMOUNT
SUB TOTAL
SALES TAX
$
SOLD TO:
BU~ I I~! CONCRETE ~:;EH 1) 1 C'l~:•3
1i:!:i'~)::1.1--1,Jr1Rf:FN LJJ. '..Jlf•.!11!'I I .I.
SHIP TO:
CUSTOMER ORDER NO.
UANTITY
TRUCK NO . . · ;;.-
TIME
TOTAL CU. YD .
MIXNO.
DESCRIPTION
Rec'd By __________________ _
ACCOUNT NO.
PRICE
SUB TOTAL
SALES TAX
TOTAL $
PLEASE READ BACK BEFORE UNLOADING
OFFICE COPY