APPROVED ENG SOILS RECEIPT Pacific TopsoilsPACIFIC %%�.
TOPSOILS, INC:
a service company
805 80TH STREET SW EVERETT, WA 98203
(425) 337-2700 1-800-884-SOIL
Duplicate
Order
Order# Ship Via Delivery Day 8 Time Delivery City Customer #
2-01115985 SOL 6/9 FRI 10-3P EDMONDS 2-132003
Date Ordered Order Input Time Sales Location Job Name/PO # Salesperson
6/7/23 3:17 pm ADMN 1 1
Facility Shipped From Truck # Driver Name Date Delivered CHAnge/CANcel1 ?
2.29 #2 1 KEVIN K 9-Jun-23
Sold to:
SUE KING
131 SKYLINE DR
EDMONDS,-*-,.VA
98020
Quantify
15000
15-00
15-00
Qty Del
1.00 1
1.00 1
1.00
Item #
DARKFINEMULCH
E C F11 11111cil
FUELFEE
ZNOTES
ZPREPAID
ZNOTES
ZNOTES
ZNOTES
Ship to:
SUE KING
131 SKYLINE DR
EDMONDS,WA 98020
206-715-7770
Description
DARK FINE MULCH
ENVIRMNTAL COMPLIANCE FEE
FUEL SURCHARGE
VERIFIED DFNI AND AMOUNT X2
*** PREPAID MUST CALL ON WAY
WITH ETA!!
WANTS DUMPED OFF DW, DRIVE
WHERE SAFE
CUST KNOWS SAME DAY CAN/CHA
_ $150 TRUCK TIME
REFUSAL ONSITE ALSO RESULTS
IN TRUCK TIME
•
Price Ext prc
43.99 659*85
9.00 15-00
1.070 25m5O
o.00 0000
0.00 0*00
0.00 0200
0400 0900
0.00 0600
User: BECCA Order subtotal: 700-35
FERTILIZATION RECOMMENDED FOR ALL SOIL MIXES
WARNING AND WAIVER
If the materials are delivered inside the curbline, the size and weight of the delivery vehicle could cause property
damage. Please initial below to indicate that you:
1 } Have authority to grant permission to allow the delivery vehicle to enter property.
2}Acknowledge that the delivery could result in property damage.
3 j Accept responsibility for such damage and waive damage claims against Pacific Topsoils, Inc. by Initialing Here:
Tender:
6/7/23 Visa # ***'2874
Goods Rec"ieved By Date
THANK YOU FOR CHOOSING PACIFIC TOPSOILS.
Tax amount;
order total.0
Order amt due:
73654
773o89
773-89
0000
N