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190 Sunset mud ticket for blocking.pdfSales/Delivery Ticket Leave 1;)1(),t1,1 1 f, 4 f"', F,1' J, IS71 0 1 Plant Arrive Job Start Pour 1,J r, T I f 1 1 i7`� Finish 'Wi 6- 15 , e" S,-","- M�G IMA51 Pour rNly nkedcenneM, x00d'I I i adn"I 1001HInudAy w15; weiqlhed,'ineasu red - -- — ----------- It' is a r AounWil tyj;� sign!acure is on fti, certificat Finish e�Irrll 0 -act 1>0 nok to I,Lklw Ro,-6 rerognWip ol)�jlwoy'o acckO� lr--ee� Virhl�owith Kee - — - - ---------- ----- ----------------- - --- ren 9n1t�— Water added at customer's request Rev Counter on This concrete is designed Load: American Concrete Institu "l ump on isk. irA Gals to full load CY in ers Gals to 2/3 load 'ra ket i,, resulting from reactiv Gals to 1/3 load Delivery Address: GRAHAM PAUL ROSS 253.847.1006 Owner Fox 253.847.6503 Cell 206.510.9826 P.O. Box 1205 PrOss99119@comcast.net Graham, WA 98338 Ticket Notes; . .... . . . Driver Name. . . ...... J�T, ,,I, J, V )rd" . . . ....... . T�-k-ei T;!"W, - — ----- jing Time: Sales Tax - 7 .... . ...... - - ------- - - ----- ,X), i fA 4. lili,,, n, A f p LIJ 6, �-"'!"I" o, r, 6 1, 1 1frr m I1 [Y ;;aaa"4% i��"'�i. ,ma,,, ��,f .,1;°`fi!,n ?ij "„ ?„; iy iii 11,rf), Ub ';51 i 11011 ]b 1"'1'/4 21!""11,11111 I'll 1'1",1,f11,1 1,, J 6 47A I b, 3 q o/" 4, 11", o" 1) t"N" 0 ? c/,, 1, 1 o""', 0, orf, t"11 lr RSV'` pit M,u ,fr in",A,, 10�! i e r '�% 0 1 kif 'p, t 4" '1 04 I. I have read, understood and I agree to all the above, including the Terms and Conditions on the reverse of, or accompanying this document, and incorporated by reference, Signature CUSTOMER DL -04 0 3