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J}��nJ� JJJ..vi�3Q J�Na �J� �JJ W.iJ�§;�8<Z ,ii i c 5 .Air og.tigg.!3 gb ! 1 Y 5l �p r§r5 -$g gg0gi5 gg$ xz ' ,Ag, o� n 3 a 6 m „3 ®. City of Renton Progress Payment Na 3 Project Name: Duvall Avenue NE CAG: CAG 20-065 T10: N/A Contractor: Reed Trudging and Excavating FHWA: Pay Period: 2/1/2022 to 2/28/2022 No. Completed Project Estimates Yrn onrr Date: March 7,2022 Payments Includes,stknated runs,,,nd.rruns. Contract Teo P,oreu Payment Prev...Patnents Payments to Cate Esti,na1 to Campl.t. Estimate at CotfHealan Chang. BA!tam j Dettnptlen j Unit j Unit Price I Quantity j Cost Quantity[ Cost Quantity j Cost Quantity I Coat Quantity I Cost Quantity j Cost %of Contract Orden Schedule A Change orders Schedule A Change Orders C.0.1 R.teuly. LASS R.Mnp Bond IS. _ 52.555.00 1.00 52.5850) 0 50.00 1 52.015 00 100 5205500 0 5000 1.00 52,50500 100.00 00.1 rotes so,sas00 S0.00 52.58500 52.55500 500 52,585.00 100.00 Schedule A Plus C.O.Totals 54,692,337.50 S547,87105 $165,622.10 5763,495.15 54,464,470.21 55,227,965.36 111.41 Schedule 8 Schedule 8 61 1 MO0RILATION ANO OEMOUTION (NOT TO EXCEED 10%OF TOTAL of 510 SCHEDULE 0 LS. 515,000.00 515,03000 ton $000 0.50 512,030.00 0.DI 02,000.00 0.20 $3,000.00 1.00 515,00000 WO 00 82 TRENCH SAFETY SYSTEMS 53. 52,030.00 1 52,00000 0.00, 50.80 005 510000 005 5100.00 0.95, $1,900 00 1.00 $2,000.W 100.00 REMOVAL ANO REPLACEMENT OF 83 UNSURA0LEFOUNOATIOI6 TON 560.03 1W 06,070W 000 5000 000 50.03 000 50.00 10000 56,000.00 100.00 56 00000 10300 61 SELECT IMPORTED TRENCH BAO,TRL TON 535 CO 1.265 54a.275.00 000 SO 866.89 530.341.15 866.89 $30,341.15 395.11 513,93385 1,265 CO 544.275.00 1170.00 7.‹.' ><" 50W 50.03 50,00 0.00 SO 00 50.00 0.00 50.00 0.00 66 FURNISH ANO INSTALL 61N0,CL52 20 WATER MAIN WTH RESTRAINEO.101NT FITTINGS AND POLYETHYLENE ENCASEMENT LF. $110.00 52.800.00 000 50.00 0.00 SOW 0.00 50.0C 2003 52,500.00 20.00 52,93000 10000 B7 FURNISH AND INSTALL 12-INCH CL 53 62 WATER MAIN WITH RESTRAINEPI0NT FITTINGS AND POLYETHYLENE ENCASEMENT LF. S125.00 51,70100 003 SO.00 00 50.00 000 50.00 62.00 57,75010 6200 57,750.00 100.00 ex FURNISH AND INSTALL IHNO,CI 52 740 WATER MAIN MtTN RESTRAINED-RANT FITTINGS AND POLYETHYLENE ENCASEMENT LT. $13300 599,900.00 0.00 00.00 000 50.00 000 50.00 74003 099,503.00 740.00 599,90000 1W00 89 ADDITIONAL OUCTRE RONFHTI1NOS Ins 5500 36W 518,00003 000 50.00 000 50.02 0.00 5000 3.60300 518,0 300 3,600.00 $I83100.00 100900 510 CONCRETE TOR THRUST BLo ne6 C.Y. S103.00 27 $1,700 W 0.00 50.00 3 52 5352 00 3 52 5352 W 23 as S2,348.00 27.00 52,703.00 102.00 811 CONNECnON TO DOOM WATER 1 MAIN EACH $3,500 514,00000 0.00 50.00 2.00 57,000.00 2.00 57,020.0 2.00 51.000.00 4 00 514,000.00 100.110 812 CUT AND CM EASTNG WATER 11 MAN AND ABANDON COS MO x �WATER£A00TE5 EACH 5650.00 57,150.00 0W 50.00 100 5650.00100 5650.W 0 1000 56.5 .03 11.00 52.150.00 10000 50.0D 50.03 50.00 0.00 50.00 50.03 000 50.00 0.00 514 FURNISH ANO INSTALL 6NNCa1 GATE 1 VALVE ASSEMBLY EACH S1,I00C 52,80000 0.0 50.30 000 50.03 00 SOW 2.00 52,800.0 2.00 5260000 IWW 615 FURNISH ANO INSTALL 12.e.01 GATE 1 VALVE ASSEMBLY EACH 52,5000 52,5000 0of 50 co O.W 5o W 0.W 50 co 1c0 $2,5W.W 1.co $2,5W c 1W co 0110 City of Renton Progress Payment No 3 Project Name: Duvall Avenue NE CAG: CAG 20-065 TIB: N/A Contractor: Reed Truddna and ERnttadn% FMWA: Pay Period: 2/1/2022 to 2/28/2022 No. Completed Project Estimates Date: Meech 7,2022 Payments Includes estimated overruns,underruno. Contract This Progress Pwment Plod.,Prenmt: payments to ate Estimate to Compete Emmete at Completion Cnr03e Bid Item 0esoiptlon Unit Unit Prim 0uantIty Cost Quantity Cost Quantity Cost Quantity Cost Quantity Colt Quantity Cost %of Contract Orders 316 FURNtSH ANDINSTALL I6-WOI GATE 1 VALVE ASSEMBLY EACH $6,00000 56,000.W 000, $0A0 0.00 50.00 0.00 50,00 1.00 SA000.00 1.00 56,000.00 10000 •a117 rURMSH AND INSTALL TIRE 2 HYDRANT ASSEMBLY ON NEW WATER MAIN EA01 56.000.00 516,000110 000 50.00 0.00 $0.00 000 50.00 2.00 516,020.00 200 516,000.00 100.00 Big 7URNI91ANDIN51ALL ME 7.0 - HYDRANT ASSEA36LY ON COSTING WATER MAIN INCLIRRNO WET TAP eY APPR0VE0 WET-TAP CONTRACTOR EA01 5e,000.00 $56,020 CA 000 SO CO 200 516,00000 300 116,003.00 5.00 540.00000 7.00 356.00000 10000 619 cURMSH ANOINSTALL 14NCH 1 WATER SERVICE CONNECT/CM 0*01 51,70000 S1,70203 0.02 50.00 0.00 5000 0.00 50.03 1.00 51,700.00 1.00 51.700.00 100.00 320 STOOMWATER POLLUTION 1 PREVENTION ONO TESC7 PLAN AND IMPLEMENTATgN IS. 51,00000 51.000.00 0020 50.00 0.050 S50.00 0.05 550.00 0.95 595000 100 51,02000 100.00 3URM511 ANO INSTALL 2-IN01 B21 PERMANENT 1LOW.OEFASSEMMY EAOl 53,50000 1 $3,500.00 000 SOW 0.03 50.02 000 SO00 100 53,50000 I00 53,500co 10000 Su5-To100 5311,07500 50.OE 566493,15 566,495.15 5244,58135 $311,07500 100.00Wasn,nttan State Sales Tax 10I% 53141858 50.00 56.715.6t 56,71581 524,70277 533!1858 Schedule B Toot $312,403.50 $0.00 $71,20006 $71,20,96 52e9,214.62 4542,113SI 100.00 O. City of Renton Progress Payment No 3 Project Name: Duvall Avenue NE CAG: CAG 20-065 TIB: N/A Contractor: Reed Truddng and Excavating PNWA: Pay Period: 2/1/2022 to 2/211/2022 No. Completed Project Estimates Date: March 7,2022 Payments In.laem estimated O.er11,01,undernmt. Contract III,Propels Payment P,t401.1i Payments PC(r Cott lP Date Esemate to Complete (at,m.te at Completion Change lid it rnl Oes9ptlon I Umt I Unit Price I Quietly I Call Quietly)l Colt Quantity j Cost Cur t'ly l Cost OasntIty I Cost quantity I Colt X of Contract Oree% Schedule B Change Orders Schedule B Change Orders co-a $0 DO $000 SOLO 000, $000 $0.00 000 50.00 a0rv/OI 5000 SO DO $0.00 $0.00 0.00 $0.00 401V/01 • $0.C. $0.00 $0.00 0.00 5000 $0.00 000 $0.ca a0rvrol C.O.a Tour I S0.00 i $0.03 $0.00 5003 $0.00 $0.00 P01V/01 co.as S0.03 50.00 50.00 0.00 50.00 $000 0.00 So00 a01,/01 $0.00 _ $0.00 500 0CC 50.00 $0.00 0.00 $0.00 NCIV/01 50.00 SO.m 5000 0.00 $0.00 $0.00 0.00 S0.00 Perv/01 C.O.as Totals l $0.02 $0.00 50.00 000 $0.00 $000 50.00 .DIV/01 Schedule I C.O.Sub Tata. $0.00 50m 50.CO $0.00 50.00 S0 00 I031V/01 W.shmgton State Saes Ta. 10.1% SO CC 50.00 5000 $0.00 $0.00 5000 Schedule 8 Change Order Totals $0.00 [ $0.00 $0.00 $0.00 $000 $0.00 PDIV/01 Schedule B Plus Schedule B C.O.Totals $342,493.58 $0.00 573,20E1.96 $73,208.96 $269,284.62 $342,493.58 100.00 Schedule C Schedule C CI SPCC PLAN 1.5. SSW 00 100 550300 0DO 5000 100 550000 1131 550000 0.00 50.00 1.00 550000 10000 CO 1001112A7101 LS. 510,00.03 1.00 510030.00 1.00 510,000.00 0.00 50.00 1.00 510,00000 100 110,00000 2.00 920,930.00 20000 C3 pINT 111100 09E001 LP. $10000 18000 118,00000 9500 $9,500.00 0.00 $0-00 95.00 59,500.00 180.00 518.00000 270.00 $27.50000 15178 C4 LATERAL T71E1601 U. $75.00 1.150.00 586,2501:0 669.00 $50175 CO 000 $0.00 66900 S50,17500 1,15000 006,250.0 1,819.03 5136,415.00 158.17 INSTALL VAULT.PSE TYPE C52'6.6702'6'128). E401 1A0100 2.00 51,60000 000 SO CO 000 5000 000 50,03 200 51.600.00 2,03 $1,600.00 10003 INSTALL VAULT'PSI TOPE C6 elre7'0'.5r ,EACH $1.000.00 4.00 54E00.03 1.00 51,00000 000 $000 1.00 51.00000 400 54.00000 5.00 $5,00000 125.00 INSTALL VAULT-PSE TYPE C75'3.a2'3'425' EACH 11,000.00 1.03 51,000.00 000 5000 000 50.03 0.00 5003 1131 11.000.00 1.00 5300000 10300 INSTALL VAULT.(n..CAST TYPE Ca 11'33'0'PEDESTAL EACH 5150.00 1.00 5750.00 0.00 $0.00 0130 5000 000 $000 100 575000 1.00 5750.00 100.00 INSTALL CONOU IMPS-2 IN.DIM.- _ C9 PSE L.F. $1200 3000 536000 1000 $1.066 CO 0.09 $000 33. $1,05600 30.00 5360.00 118.00 51,41600 393.33 INSTALL CONDUIT PIPE-3IN.01AhW.- CSO PSE IF, 113.00 270130 53,51000 300 50.00 0.03 50.00 0.07 50.00 270.00 13,510.00 270.00 13,53000 10000 INSTALL CONDUIT PIPE-4IN.DtAM.- CIl PSI LV. 51100 3,210.00 5,6,020310 1,99550 521,950.50 004 50.00 1,495.50 521,350.50 1,2110.00 536,090.00 5,275.50 559.050.50 160.84 INSTALL CONDUIT PIPE'61N.01AM.• C12 PSE 1.0. $1100 27000 54.31000 000 5000 000 5300 0.00 50.0 220.00 54.810.00 22000 62.91000 10000 . e ® City of Renton Progress Payment No 3 Project Name: Duvall Avenue NE CAG: CAS 20-065 TM: N/A Contractor: Reed Truddng and Excavating FHWA: Pay Period: 2/1/2022 to 2/25/2022 No. Completed Project Estimates Date: March 7,2022 Payments Includes estimated o0e*.uns.under.pns.. Contract Thls Prorrµs Payment Pr..,Payments Payments to Data Es5mat.to Complete Estimate at Completion Change 610Pent DesmpHon One Unit Price Qu.rrtey Cast Qu.n1Ry Cost QuanMy Cost Quantity Cost Quemoy Cost Quantny Cost %of Contract 0ns.s PIST6LL cot.,eT PIPE..IN.owd.• C13 COMCAST LP. $11.00 180.00 51,9a0A0 matt 5800LO 000 $OAO 30.00 $880.00 180.00 51.990.00 26000 52.560.00 144 a 5,04.1o1a1s 5168,570.03 594,56150 $500.00 595,06151) 5163,370.00 5263431.50, 15600 Weshtnrton Stet.Seas 10.1% 517,05sio $9.550.71 $50.50 $9.603.21 517,035.37 526,606.58 Schedule C Totals 5185,925.17 5104,111.21 Ssseso $106,652.71 5135,17537 $290,03a.06 156.00 Schedule C Change Orders Schedule C Change Orders C O.005 $0.00 $000 50.00 0.0i SO.ao so.0o 0.00 50.03 IOIS/01 $0.03 $um $0.00 50.00 003 $0.00 .ON/0I 5000 10.00 50.00 0.03 10.00 50.00 0.00 50.00 101Vt01 CO.sac Totals $0.03 SO CO $0.03 $0.00 50.00 5Om e015/01 C.0.xxxx Sono 5o.00 s000 0.m Sam $0m O.Oo 50 e0 100601 $0.00 50.00 50.00 0.00 $0.00 50111 0.00 5000 .019/01 50.00 So co $0.00 0.00 SOLO 50.00 0.00 $0.00 1.01V/01 C.0.11001 Toby $0.00 $0.00 $0.00 0.00 50.00 50.00 $000 .Olyftn Schedule C CO.Sr14Tebh $0.00 50.00 50.03 $0.00 $0.00 S0 00 0015/01I W.shmp0n State Sales Tee 10.1% $0.03 6000 S000 50.00 50.00 50.00 Schedule C Owego Ord.Totals 50.00 $0.00 S0.0o 50.0o $0.ao $0.os ea8/0I Schedule C Plus Schedule C co.Totals $1E6,425.87 $104,112.21 $550.50 -$104,662.71 $185.375.37 $29o,oag.of 156.00 'Total Schedule A,a and C Pius Change Orders $5,220,756.95 . . 0 City of Renton Progress Payment No 3 Project Name: Duvall Avenue NE CAD: CAG20.065 TIB: N/A Contractor: 'laudTnrdkleg and ticavotkes FHWA: Pay Period: 2/1/2022 to 2/28/2022 No. Completed Project Estimates Date: Marls 7.2022 Payments Melude5 eat+nated orant,n5,onde'hins Contract This Proar.ss Payment previous Pa,nunts Payments;o ant Estimate to Commie Estruceat CanpOUpt Manse Bid NeroI ..._.. Descnpton , unii I Unit Otte I QuaMM I Cool Chantey I Cost Quanrty' Cost Quantity I Cost Cit stIn 1.,r Cost Qyastey I Colt '%cl Comsat Ord,-., 'Schedule A Materials on Nand(MON for 81's A44-A46 and A48 Storm Sewer Pipe,BI A49 Concrete Inlet,81 ASO CB Type 1,BI A51 CB Type 1L and 81 A85 Electrical System Complete, -51.085.41 580,150.62i 579,065.21 '•Deferral on missing COC for Di pipe for 81817 $0.00 .$800.001 5800.00 Schedule A Plus Schedule A C.O.Totals _____ 5597,873.05 $165,622.101 $163,495.1( Schedule B Plus Schedule B C.O.Totals Soon 573,2011.% $73,201.% Schedule C Plus Schedule C C.O.Totals $104,11221 _ 5550.50 5104,662.71 Total All Schedules and Change Orders,MOH and Deferrals $700,899.85 5318,732.1E S1,019.632.03 Retainage 0%due to Retainage Bond S0,00_ 50.00i 50.00 Pay This Amount $700,899.85 Approvals For This Progress Payment La...iiiSig re Date Date �2 Resident Engineer ,�✓ 3-7'ZZ Contractor �� „?,/ey2,yA Principal Engineer _ Project Manager y Transportation Design Mgr. ma.:IA NM. `— 1 vr71Washington State Department of TranspL.. Field No Record (Sketch Grid) Renton - Duvall Avenue NE Book No. Page No. 1 Contract No. Station Line C/S CAG 20-065 King County Staked By Date Work Started Work Completed 3/2/22 2/1/22 2/28/22 Calculated By Date I Checked By Date Inspector's Signature Date M B 3/2/22 ' TLS 3/3/22 30 Days Expired A2 - Mobi iza`.ion = 10o% 1 1o% contract work cornple'ed] + 0% :10% contract work completed] = 10o% to date - 0% prey = 100% this estimate ✓ A3 -Type B Progress Schedu e = 80% [Schedule Submitted] + 0% :at 80% Contract Work Completed] = 80% to date - 80% prey = 0% this estimate A4 - Project Red Lire Drawings = 75% [30/260 days] + 0% [Record Drawings not submitted] = •s/7% to date -4.0% prey =4.7% this estimate �- A5 - Con ractor Surveying = 1(13.0%[Start up/Mob]+0.5x9.4%[Saw Cut Limits]+0.25x9.4%[HVF] o `ty--Vdu is f22%~ ° 8%[lllumination/Traffic Signals]+ 0X7.0%[Final Channelizalion/Signs]+0X5.0%[Monuments]) = 30% to date -21.9% prey = 8.1% this estinate ✓ A6 -ADA Feat re Surveying = 75% fur wuik complete + 25% upor completion 0% to date 0% prey = 0% this estimate for approved plan + 75% [30/260 days] = 33.7% to da e -29.0% prey = 4.7% this estimate Al 0 - O er Te po-ary Traffic Control = 100% [30/260 days] = 11. o to da e - 5.4% prey = 6.1% this estimate ✓ Al 1 -Traffic C trol Supervisor = 100% [30/260 days] ✓ = 11.5% to dote - 5.4% Prev = 6.1% this estinnate GroupBasis of Material CAPS Entry Initials Item No. Item No. Date Unit Quantity RAMS No. Acceptance No. Post OK Est. No. A2 Mobilization 2/28/22 LS 1oa% N/A Calc MB TLS 3 A3 Type B Progress 2/28/22 LS 0% N/A Calc MB TLS 3 Schedule A4 Project Red Line 2/28/22 LS 4.7% N/A Calc MB TLS 3 Drawings A5 Contractor Surveying 2/28/22 LS 8.1% N/A Calc MB TLS 3 A6 ADA Feature Surveying 2/28/22 LS 0% N/A Calc MB TLS 3 A9 Covid-19 Health and 2/28/22 LS 4.7% N/A Calc MB TLS 3 Safety Plan A10 Contr temporary Traffic 2/28/22 LS 6 1% N/A Calc MB TLS 3 Traffic Control All 2/28/22 LS 6.1% N/A Calc MB TLS 3 Supervisor DOT Form 422-636 EF Revised 9/96 ( - Bid Item Documentation Review- Mobilization Agency: City of Renton City Project No: CAG 20-065 Project Title: Duvall Ave NE Reviewed by: Tani Stafford Date: 3/3/22 Standard Specification 1-09.7 Mobilization Contract Bid Amount $5,218,171.95 Mobilization Bid Amount(A2): $400,000 5 % of Contract Bid Amount $260,908.60 50%Mobilization Bid Amount $200,000 10 %of Contract Bid Amount $521,817.20 Mobilization(A2) Paid on Estimate No. 1 Contract Items Paid that Estimate $500 Mobilization Paid that Estimate$0.00 Mobilization(A2) Paid on Estimate No. 2 Contract Items Paid that Estimate $238,581.56 (no MOH) Mob Paid that Estimate $0.00 Mobilization (A2) Paid on Estimate No. 3 Contract Items Paid that Estimate $539,410.77 (no MOH) Mob Paid that Estimate $400,000 Mobilization Paid after Substantial Completion$0.00 Notes: 1. When 5 percent of the total original contract amount is earned from other contract items, excluding amounts paid for materials on hand, 50 percent of the amount bid for mobilization, or 5 percent of the total original contract amount,whichever is the least, will be paid. 2. When 10 percent of the total original contract amount is earned from other contract items, excluding amounts paid for materials on hand, 100 percent of the amount bid for mobilization, or 10 percent of the total original contract amount, whichever is the least, will be paid. 3. When the substantial completion date has been established for the project,payment of any amount bid for mobilization in excess of 10 percent of the total original contract amount Revised 06/03/2008 i Aiiik CWashington State > "P; Department of T ansp pion Field Ncf__,Record (Sketch Grid) Renton - Duvall Avenue NE ' Book No. Page No. 1 Contract No. Station Line C/S CAG 20-065 King County Staked By Date Work Started Work Completed 3/2/22 . 2/1/22 2/28/22 Calculated By 1 Date Checked By Date Inspector's Signature 1 Date MB 3/2/22 TLS 3/3/22 A21 - Removal of Structure & Obstmcti•ns = 85% for work completed = 85.0% to date - 80% p-ev = 5.0% th s estimate ✓ A62 - Television Inspection = D% for wo k completed = 0% to date - 0% prey = 0% this esti ate I V A63 Erosion Control and Water Pollution Prevention - 100% [30/260 days] = 11.5°/ to date - 5:4% prey = 6.1% t is estimate A68 - Plants for Landscap,ng = 0% for ork competed = 0% to date -0% prey = 0% this esti. ate A71 - Irrigation System Restoration = 0'o for work completed = 0% to date - 0% prey = 0% this esti ate i^ '._ '. . _ -.. — illoo e . _ea. . _ -. = 0% to date - 0% prey = 0% this esti ate A85 - Electrical System,.Complete = 0.127*(5.0%[Install conduit and boxes per trench foot]) +0*(0 7%[Install system wire and termi ations]) + 0 *(21.8%[Install ligl-t pole foundation] + 1.9% [Insta I RRFB pole foundation] + 30.8%[Install tight std & fixture] + '.3%[Install signal pole foundation] + 0.2%[Relocate signal pel=] + 0.2%[Relocate flashing beacon pole] + 0.4%[Install concrete pad for service or controller] + 0:4%[Relocate service or controller] + 4.0%f Install solar powered radarsign] + 20.0%[Install co dui': and boxes per trench foOt] + 2.7%[Irsta I system wi-e and terminations] + 0.7%[Lot demo existing components] + 0.2%[Lot testing and splicing]) v + 1*9.7%]Subcontractors MOB - Totem - 10:34% .to date- 0% prey-- 10.34% this estimate A86 -.Permanent S gning = 0% for wor completed v-,-"- = 0% to date - 0% prey = 0% this esti ate Group Basis of Material CAPS Entry Initials I l Item No. Item No. Date Unit Quantity RAMS No. Acceptance No. PC A21 Removal of Structures& 2/28/22 LS 5.0% N/A Calc MB 3 Obstructions TLS A62 Television Inspection 2/28/22 LS 0% N/A Calc MB. tls 3 A63 Erosion Control and Water 2/28/22 LS 6.1% N/A Calc MB TLS 3 Pollution Prevention A68 Plants for Landscaping . 2/28/22 LS 0% N/A. Cale MB TLS 3 A71 Irrigation System 2/28/22 LS 0% N/A Calc MB TLS I 3 Restoration A72 Irrigation System 2/28/22 LS 0% N/A Calc MB TLS 3 Electrical System, 2/28/22 LS 10.34% N/A Calc MB TLSI 3 A85 Complete A86 Permanent Signing 2/28/22 LS 0% N/A Calc MB TLS 3 DOT Form 422-636 EF Revised 9/96 W; Washington State m Department of Transp;..-.dtion Field Nc\..'.' Record (Sketch Grid) Renton - Duvall Avenue NE Book No. Page No. 1 Contract No. Station Line C/S CAG 20-065 King County Staked By Date Work Started Work Completed 3/2/22 2/1/22 2/28/22 Calculated By Date Checked By Date Inspector's Signature 1 Date MB 3/2/22 TLS 3/3/22 • A87 - Removing Pavement Marki gs = 10:0% for work completed = 10,0% to date - 5.0% prey = "%° this est mate B1 - Mobi ization and Demobil zat on = 40% [5% contract work completed] + 40% [10% contract woic completed] + C% upon comiletion / = 80% to date- 80% prey 0% this estimate If B2 -Trench Safety Systems = 5.0% for work completed / = 5.0% to date _E.0% prey = 0'o this estimate V B20 - Stormwater PollLtion Prev-ntion Plan and Implementation = 5.0% for work completed 7 = 5,0% to date - E..0% prey = 0'o this estimate C2 = Mobilization = 50% [5% co ract work completed] + 50% 10% contract work completed] = 100% to date - 0% prey = 101% this estimate • • Group Basis of Material CAPS Entry Initials Item No. Item No. Date Unit Quantity RAMS No. Acceptance No. Post OK Est.No. A87 Removing Pavement 2/28/22 LS 5% N/A Calc MB TLS 3 Markings B1 Mobilization and De- 2/28/22 LS 0% N/A Calc MB TLS 3 mobilization B2 Trench Safety Systems 2/28/22 LS 0% N/A Calc MB TLS I 3 B20 Stormwater Pollution I 2/28/22 LS 0% N/A Calc MB TLS 3 Prevention Plan C2 Mobilization 2/28/22 LS 100% N/A Calc MB TLSI 3 DOT Form 422-636 EF Revised 9/96 Auk � Washington State �I/ Department of Tiransp _ tion Field No_ Record (Sketch Grid) Renton - Duvall Avenue NE Book No. Page No. 1 Contract No. Station Line C/S CAG 20-065 King County Staked By Date Work Started Work Completed • 3/2/22 2/1/22 2/28/22 Calculated By Date Checked By Date Inspector's Signature Date MB 3/2/22 TLS 3/3/22 Material On -land Totem Invoice $46,988.24(total to date) - $35,001.71(50360a) = $11,986.53 Ferguson Invoice #1028201 -$82,558.55 *Payment for Ferguson MOH Invoice deferred. MOH Manufacturer Certificate of Compliance per WSDOT 1-06.3 required SUBTRACT 482 LF OF 2"CONDUIT @$2.35/LF PER GRAYBAR (TOTEM). INVOICE 9323272584 FROM PP NO 1=$4,132.70 SUBTRACT-$2331.96 FOR SHOPE INVOICE 100582,ALL INSTALLED EXCEPT CB7 AND CB 12 FROM PP NO 2 SUBTRACT-$1531.14 FOR SHOPE INVOICE 100584,ALL INSTALLED EXCEPT CB 16,17,18,36 FROM PP NO 2 SUBTRACT-$8,076.14 FROM FERGUSON INVOICE 1028177 FOR • 802 LF @$10.07/LF OF 12'! PP STORM PIPE FROM PP NO 2 - -1$1085.41 MB NET MOH= -- - • • Group Basis of Material CAPS Entry Initials Item No. Item No. Date Unit Quantity RAMS No. Acceptance No. Post OK Est.No. MOH Totem Invoice 2/28/22 LS $11986.53 N/A Invoice MB .3 MOH Ferguson hivoiCe 2/28/22 LS $82558.55 N/A Invoice MB 3 MOH Installed 2/28/22 LS -$13,071.94 Visual TLS 3 DOT Form 422-636 EF Revised 9/96 C y • TOTEM ELECTRIC OF TACOMA, INC. TACOMA(253)383-5022 2332 SOUTH JEFFERSON AVENUE sEATTLE(253)838-9803 P. O. BOX 1093 • wATS(800)562-8478 TACOMA, WASHINGTON 98401-1093 FAX(253)272.5214 • INVOICE# 50360a INVOICE DATE 02-17-2022 CUSTOMER# REE-4741-00 Reed Trucking & Excavating, In JOB# 4741.000 2207 Inter Ave Suite A Puyallup, WA 98372 JOB NAME Duvall. Ave NE • • • • DESCRIPTION AMOUNT • Contract #CAG-20-065 • • Total Payment Application Request 46,988.24 Previously Billed 26T39_3.87_ Down total 20,594.37 • • • • • PP No. 1 MOH $16;880.03 • PP No.2 MOH $18,121.68 MOH from invoices $46,988.24 MOH paid to date $35;001.71 • PP No. 3 MOH $11,986.53 • • • Amount Billed $20,594.37 Total Tax Retainage Held 1, 029.72 DATE DUE: 03-19-2022 Amount Due $19,5 64:65 TERMS ARE NET 30 DAYS - INTEREST CHARGED TO PAST DUE ACCOUNTS AT 1 1/2% PER MONTH Ca3toCCi - Le 1 e� a PAYMENT APPLICATION of Tacoma Inc 2332 S.Jefferson Ave/P.O.Box 1093 Tacoma,WA 98402/98401 Phone(253)383-5022 Fax(253)272-5214 APPLICATION FOR PAYMENT FORM OWNER: City of Renton Reed Trucking Es Excavating Inc Phone#253.841-4837 PROJECT: Duvall Ave NE I 1 2207 Inter Ave,Suite A Fax#253-841-4816 CONTRACT: CAG-20.065 Puyallup WA 98372 ESTIMATE NO: 3 revised PERIOD ENDING February 20,2022 t ] } y JOB NO: 4741 A...'.I:....- :•:.::•.•.•B•.•.•:.:•.•:.:':.•..::.•.•.::.:..•.::. .:::.•:•.,r.'•'L1..'..•.•..•-':.h'I[v-'.•.•1'.•.•.•.•.•H•� !'..r. :..•.t(7C.•::.L•.:.::•H•:...•..:.:•.•. ..:�::.:.•.•.•.•�'.•.•.•..•.�.:': :.•. LSiS::.:,.:.•: :JR..•.•:.:•.•. CONTRACT WORK CONTRACT OVER 1 UNDER COMPLETED TO DATE PREVIOUS BILLED CURRENT REQUEST RETAINAGE AMOUNT DUE Item N DESCRIPTION OF ITEM Amount Amount % Amount % Amount % Amount 5% THIS APPLICATION A2 Mobilization $63;063.00 $63,063.00 A85 Electrical System Complete $650,241.00 $650,241.00 C9 Install Conduit Pipe-2"Diam-PSE $97.20 $97.20 CIO Install Conduit Pipe-3"Diam-PSE $1,161.00 $1,161.00 C11 Install Conduit Pipe-4"Diam-PSE $17,580.80 $17,580.80 C12 Install Conduit Pipe-6"Diam-PSE $1.529.00 $1.529.00 - C13 Install Conduit Pipe-4"Diam-Comcast , $964.80 S964.80 Total of Contract Work $734,636.80 $734,636.80 TOTAL CONTR.THIS PAY APPL $ - i A. ... ... ..,y-::::•.... ::: .:.G: :: ry} :t::: :-:: •La - I. .. MOH REQUEST FOR PAYMENT BASED ON RECAP SHEET I MOH AMOUNT TO DATE MOH RETAINED PREY.MOH RETAINED CURRENT MOH REQUESTED RETAINAGE AMOUNT DUE TOTALS FROM MOH SHEET - Amount Amount Amount 5% THIS APPLICATION $46,988.24 $46,988.24 $26,393.87 • $20,594.37 , $1,029.72 $19,564.65 TOTAL MOH THIS PAY APPL $ 19,564; 'r ....... ALb... ... TS3ALS... ...Hl'L'.•.•.[-•-'-'H,.iLII ACS--: '......,.,dc........1'-".:1'-Tl}TALS'.•r,r.aC.TO]ALS.•.•. .•.•_•.•.L_YO'GALS'.•.•r.•. PAYMENT APPLICATION SUMMARY CONTRACT OVER I UNDER COMPLETED TO DATE PREVIOUS BILLED CURRENT REQUEST RETAINAGE(T) AMOUNT DUE I $734.636.80 $687,648.56 6% $46,988.24 4%1 $26,393.87 3%I $20,594.37 $1,029.72 THIS APPLICATION RETAINAGE WITH HELD TO DATE 5% 52,349A1 TOTAL THIS MONTHS PAY APPL $ 19,564.65 TOTAL THIS MONTHS PAY APPL. $ 19,564.65 G:ISMARTIhSECT0Z.7-RognA4741-Moran Ave NSBLUNG1T44741-Pay Apo R1nPaymnnt Application Totem Electric of Tacoma,Inc 1 of 1 Material on Hand e4741 Duvall Ave NE Bldg':,,... :::Doaiaiptlon.v_u.,.:.:L___...2:S Siditein,%�.L Vendor.,"17, :'.;Uiy,Nd:_`"�;e:Ainwiirt�::1,..:. ;,"_ - - - - _,....._5. ..,.__.... Ee.otalfMON:QoducteH - - - _._.. . .. r-• - - - - - _:Mate 4 Electrlcal System Complete .- .. i' D ' ,,':, k,`sr;1" c,,$ Graybar 9323272584 $ 16,880.03 1 $ - $ 16.880,03» Fife Yard conduit,,. amugy ' Graybar 9324949716' $ 9,513.84 2 $ - $ 9,513.84 ErrreYard }boxes Tacoma Electric 2934755.00 $ 8,248.89 3 S - $ 8,248.89 Fife Yard wirelfuse kit Graybar 9325478145 $ 12,345A8 3 5 - $ 12,345.48 Fife Yard I•boaes 81 Contract Total - $ - $ - $ - $ 'TOTALS S 46,988,24 $ S 48 988.24 C9;_..Install.ConduitP.ipe=2!Dlam=P.SE`tal.. ". ,._�,. ''.. x ..,_.�-_. ., __,.. ",...::,:"-.:, .,r_,._....,-�.,a...__—r:M ., . .1_:..:i;IS' e H!Contract Total ' • C70; Instail:Condu TOTALS S - $ - $ - itBiPe=3"DiemP.SEl7:.... :;.�„_�. .__,.._,,,_,_ .-__._-_:u_a>:.--, .__..._:.... r:' --• - - Al Contract Total ' TOTALS - C11 .Insta9:ConduitPipe=4"Diem°-PSE -: -. .. 1'1;5._. e _ ., Al Contract Total C12_+Install:Canduit'Pipe.-;6';Diam'PSE:'.7:'-5;1 .r :r ,..p._ _ni :. _,.__...._. <.,;. �._ t - TOTALS 81 Contract Total TOTALS $ - $ - $ - C13:7 Install.ConduitPiPe:4"•Diat11<aComcast' :.d'•.,.'„"--.i.'.".F: .:°.n':...r._,::_:, -;,.'..»•..._.,.,..•.; ... .._..,_...." ;;i: ,. p..._,...«w:'c::=_:s:tw,:e," x.:",3"1..::> .-i::"�:.. ;.-J :: sue: :r. 81 Contract Total • TOTALS $ - S - S - TOTAL MOH TO DATE: $ 46,988.24 Total Retained to Date: $ 46,988.24 Total MOH Deducted to date: $ - Total MOH deductedlAdded thru PE: 20,594.37 As of 2/25/2022 GAuwwnnsecToat-Raga ADD-Duval Aw,NErawr� Tank-r ay My FaANOH Pa TACOMA. 2519 96th Street South Tacc WA 98444 INVOICE ELECTRIC Phor,„ 253)475-0540 ' SUPPLYgili A Winsupply Company UPC VENDOR INVOICE Date ORDER NO. 000000 01/31/22 2934755-00 P.O.NO. PAGE# CUST.#: 5119 4741-5 1 SHIP TO: 4741 DUVALL AVE NE TOTEM ELECTRIC 253-383-5022 4310 70TH AVE E REMIT TO: Tacoma Electric Supply Inc FIFE, WA 98059 PO Box 84257 --°---Seattle, WA 98124-5557 BILL TO: TOTEM ELECTRIC OF TACOMA INC /^ 14 - vl I — J PO BOX 1093 � ',: TACOMA, WA 98401TRUCTIONS TERMS SHIP-COMPLETE VAR1ONET25TH SHIP Point SHIP VIA SHIPPED Tacoma OUR TRUCK 01/31/22 Line PRODUCT QUANTITY QUANTITY QTY. QTY. UNIT AMOUNT NO. AND DESCRIPTION ORDERED B.O. SHIPPED UIM PRICE (NET) 1 SEC1791SF 50 0 50e() E 20.25882 1012.94 1791SF 'SEC 1791-SF FUSE KIT FACTORY ORDER 3-4 WEEKS 2 MERATM3 50 0 50 t E. 3.65 182.50 600V 3A MIDGET FUSE 3 3M82B1 52 52 0 E 23.87933 0.00 82-B1N WYE RESIN SPLICE KIT FACTORY ORDER 3-4 WEEKS 4 USE8BKSC 10500 0 10500`CL2 M 548.48235 5759.06 WIRE USE-RHH-RHW-8-BLK-S TR-CU FACTORY ORDER 12-14 WEEKS 5 USE8GNSC 7750 7750 0 M 548:48235. 0.00 WIRE USE-RHH-RHW-B-GRN-S TR-500 FACTORY ORDER 12-14 WEEKS ARO 6 USE2BKSC 550 0 550 etc:, M ' 2003.44706 1101.90 WIRE USE-RHH-RHW-2-BLK-S TR-CU- GOOD STOCK AT THIS TIME 7 SIG502C 450 0 450 (2 M 427.75294 192.49 SIG 14/2 2COND 50-2 IMSA GOOD STOCK AT THIS TIME 7 Lines Total Qty Shipped Total 11600 Total 8248.89 Invoice Total 8248.89 • • THIS INVOICE MAY CONTAIN SALES TAX. IF YOU BELIEVE YOU ARE EXEMPT 'ROM SALES TAX,PLEASE EMAIL A COPY OF YOUR WASHINGTON STATE i RESELLER'S PERMIT TO TAX@TACOMAELECTRIC.COM OR FAX TO 253-475-1204. Cash Discount 141.07 If Paid By 03/10/22 Last Page All sales are subject to the terms&conditions found on our website www.tacomaelectric.com. For a hard copy call (253)475-0540 yAIMIC> • • GYMaR INVOICE rr iioice'QuestionssPlease Call' .` 'rr; : lit to: J 253-779-3600 ,r<AYBAR ELECTRIC.COMPANY, INC. hX, ! . .O. Box 57073 � - Invoice No: 9325478145 .OS ANGELES CA 90074-7073 Invoice Date: 02/09/2022 - J Account Number: JP8962214 Account Name: TOTEM ELE 1 4741 DUVALL Bill-To: Ship-To: TOTEM ELECTRIC OF TACOMA, INC / ROADWAY TOTEM ELE 1 4741-DUVALL AVE NE 2332 S JEFFERSON All Fife Yard 253-678-1502 TACOMA WA 98402-1405 (Ally) USA FIFE.WA4310 T 98424• H AVE. E. 1-1 j� USA ( — 1 l - -t • -' Page 1 of 1 0 # : 4741-4 • 60#: 376550112 • )el.Doc•.#: PRO # . Routing Date Shipped Shipped From F.O.B. Rt. -To 376550112 . 01/17/2022 FACTORY -Ordered By: Jane Romito 2uantity I Catalog I# / Description I Unit Price / Unit Amount 9 TYPE 2 NON-SLIP COMPLETE LT H2 PRECAST 736.20 / 1 6,625.80 • • • • 1 'TYPE 2 NON-SLIP COMPLETE TS H2 PRECAST •736.20 / 1 , 736.20 • • • 3 TYPE 2 NON-SLIP COMPLETE ITS H2 PRECAST 736.20 / 1 2,208.60 • • 2 TYPE 8 NON-SLIP COMPLETE TS H2_PRECAST 1,274.18 / 1 , 2,548.36 2 TYPE 8 FOOTING H2 PRECAST 113.26 / 1 226.52 rerms of Payment Sub Total: 12,345.48 la loth erox., net 15th Pros. Freight & Handling: 0.00 • As. a condition of the sales agreement, a monthly service charge of the lesser of 1-1/27, or the maximum Tax: 0.00 permitted by law may be added to all accounts not paid Total Due: 12,345.48 my net due date. Visa, MasterCard, American Express, Cash-Discount(if paid within terms): 123:45- and Discover credit cards are accepted at point of ' purchase only. • • SUBJECT TO THE STANDARD TERMS AND rcmNnTTTANA T.TSTEn nN www noavtian rntu • FERGUSOL' INVOICE NUMBE, ( TOTAL DUE . CUSTOMER PAGE. WATERWORKS 1028201 $82,558.55 75938 1 of 1 9129 NORTH TYNDALL AVENUE PLEASE REFER TO INVOICE NUMBER WHEN PORTLAND, OR 97217-6964 MAKING PAYMENT AND REMIT TO: FERGUSON WATERWORKS#3011 • PO BOX 847411 Please contact with Questions: 510-404-1810 DALLAS,TX 75284-7411 • SHIP TO: 7461 1 AB 0.461 E0050 10080 D8707420210 S2 P8842094 0002:0002 IIl11.111.1IIIIIIIIIIIIIIIIIIIIIIII11.1 IIIIIIIIIIIIIIill,IIIIII REED TRUCKING&'EXCAVATING INC eif REED TRUCKING&EXCAVATING INC DUVALL AVE NE DUVAL AVE NE DUVAL AVE NE RENTON,WA 98057 2207 INTER AVE STE A- PUYALLUP WA 98372-3400 • SHIP SELL TAX CODE CUSTOMER ORDER NUMBER SALESMAN JOB NAME INVOICE DATE BATCH WHSE. WHSE. 3156 3156 WAE • DI PIPE • LJH DUVAL AVE NE 02/11/22 84493 'ORDERED • SHIPPED • ITEM NUMBER • DESCRIPTION • . • U NIT.PRICE UM AMOUNT Source Order#:1028168 40. 40 AFR52P12 12 CL52 CL DI FLEX RNG PIPE 57.060• .FT • 2282.40 740 733 AFR52P16 16 CL52 CL DI FLEX RNG PIPE 86.820' FT 63639.06 280 281 AFT50P12 >2 CL50 CL DI FASTITE PIPE 37.090- FT 10422.29 40 40 AFT52PD1 12 CL52 DCL DI FASTITE PIPE•• 43.770 FT 1750.80 180 181 AFT52PDU 6 CL52 DCL DI FASTITE PIPE ' 18.800- FT 3402.80 40 40 AFT52PDX 8 CL52 DCL DI FASTITE PIPE 26.530 FT 1061.20 • INVOICE SUB-TOTAL 82558.55 LEAD LAW WARNING:IT IS ILLEGAL TO INSTALL PRODLCTS THAT ARE NOT"LEAD FREE"IN ACCORDANCE WITH US FEDERAL OR OTHER APPLICABLE LAW IN POTABLE WATER SYSTEMS•ANTICIPATED FOR HUMAN CONSUMPTION • PRODUCTS W TH"NP IN THE DESCRIPTION ARE NOT LEAD FREE AND CAN ONLY BE INSTALLED IN NON-POTABLE APPLICATIONS.BUYER IS SOLELY RESPONSIBLE FOR PRODUCT SELECTION. • • • • • • Looking for a more convenient way to pay your bill? • 12/1 • Log in to Ferguson.com and request access to Online Bill Pay. rERMS: CASH ON DEMAND ORIGINAL INVOICE TOTAL DUE $82,558.55 ;II past due amounts are subject to a service charge of 1.5%per month,or the maximum allowed by law,if lower. If Buyer fails to pay within terms,then in • addition to other remedies,Buyer agrees to pay Seller all costs of collection,including reasonable attorney fees.Complete terms and conditions are available upon request or at https://www.ferguson,com/content/website-info/terms-of-sale,incorporated by reference.Seller may convert checks to ACH. `Any reference to or incorporation of Executive Order 14042 and/or the EO-implementing Federal clauses(FAR 52.223-99 and/or DFARS 252.223-7999)is )xpressly rejected by Seller and shall not apply as Seller is a materials supplier and therefore exempt under the Executive Order." 2:0002 Q i Departgton State anspi ation Field Nt__ Record (Sketch Grid) Department Renton - Duvall Avenue NE Book No. Page No. 1 Contract No. Station Line C/S CAG 20-065 King County Staked By Date . Work Started Work Completed 3/2/22 . 2/1/22 2/28/22 Calculated By Date Checked By Date Inspector's Signature Date MB 3/2/22 Change Order 6 _ A8 - Utility Conflict Resolution CB 3 & CB.5 Risers = $259.59 *See FA Summary Sheet Group Basis of Material CAPS Entry Initials Item No. Item No. Date Unit Quantity RAMS No. Acceptance No. Post OK Est.No. A8 Utility Conflict Resolution . 2/28/22 Est $259.59 N/A Calc MB 3 DOT Form 422-636 EF Revised 9/96 a Force Account Summary Contract Number Date Change Order No. CAG-20-065 2/28/2022 6 Prime Contractor Subcontractor/Lower Tier Subcontractor Reed Trucking and Excavating,Inc. Labor Date Amount 1 $ - 2 $ - 3 $ - 4 S - 5 $ - 6 $ - 7 $ - 8 $ - 9 $ - 8 Total $ - 9 31%Overhead,Profit,Etc. $ - 10 Labor Total $ - Equipment Date Amount 11 $ - 12 $ - 13 $ - 14 $ - 15 $ - 16 17 18 Total $ - 19 21%Overhead,Profit,Etc. $ - 20 Equipment Total $ - Materials Date Amount 21 2/28/2022 $ 214.54 22 23 24 25 26 27 28 Total $ 214.54 29 21%Overhead,Profit,Etc. S 45.05 30 Materials Total $ 259.59 31 Mobilization 32 Subcontractor 33 Subcontractor Markup 12%/10%/7% 525,000/$100,000/Over 34 Force Account Total $ 259.59 Inspector Date Contractor Date + Daily Report of Force Account Materials Contract Number Date Change Order No. CAG 20-065 2/28/2022 6 Prime Contractor Subcontractor/Lower Tier Subcontractor Reed Trucking& Excavating, Inc. Date Used Material Description Vendor or Stock Quantity Unit Price Amount Record 1 2/28/2022 Catch Basin Risers 1.00 $ 214.54 $ 214.54 2 $ - 3 $ - 4 $ - 5 $ - 6 $ - 7 $ - 8 $ - 9 $ - 10 $ - Tota I $ 214.54 Inspector Date Contractor Date Zip Zia Wit: .gs - Field Not - ecord (Sketch Grid) j 1 Book No. •1 If 1 Page"No. /y Contract No. Station line • /'-- i1 . .' C7S. I fa 59 'i 0 U ✓4•% j j it.s .Ca Staked By, . Date" Work rted • Work Efimpteted-: - toi) rCjafGs 2 2/-. Z - z-Zi'-Zs 2 -Zs-z ` - Calculated By IF'' ate •• Checked By ' 'Date ' i I I s - nature' •• !Date ' f l iit� Es, z-as-Zz MB 3/1/22 II 2--2S--22- I it ,fie I , I ,,diiIitmig - ' Hi - li ?.' 1r s(; ,, , , ,. , ' _ : ,i,....7 7 ,c7:0...stt/ i.r, , L-_, Z '‘ Z. ;. Y-: • i . 2c42 I' e• l + ;l ye. ,0 _ 7 - - t. ,y .oa1. I . i� J 7 - -,) -IAro . . - . -C4 - L:to -I re oh I ' hr r+ s- 1 '-'2 R • - _: :55 F' 1 i L' • I. . 2.9. F *p-rP" il • i . _ i � - . i 482If/3800 LF ' . 14 t4' , Id_ .3. - 4 J fj =12.7% Ju pSul It-,rriP ;id PrIS • � ' F R ( I ; =j • ii } frauds Item No. Item P Date - Unit Quantity RAMS No. ' Basis ofMaterial CAPS 6 Est,No. No_ lAcceptance• No- I; Post :OK A 17 a2.�ttio I dty'ra - 2 -2 2.✓5 .S/ 4f7$J ;F/`.r`,at�/ • . 1TLS MI3 3 C-3 ,7 V 1 2-Zf it 4 ' p5 ,\/ , ifv+a•/ - TLS MB: 3 - C. tf i.o/tre/ rieo-v)1 2-ZS-Z L.G --.. 669 /5 -/ ;I TLS MB. 3 I C-1 Z " P 22S--az 2 , .1t;v.�( II TLS MB. 3 / .,I C-r., 9«Psi.. 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Ticket# 8643 , fs. lb P.O.Box 377 ; 02/22/2022 01:12 PM Renton,WA 98056 . t gd 41-4-2? i 1 iait41141* f 1 mATER:41..4 I ! -,. t,,,;,,o.:,..,;,. .wfigr,z,f. ,:v..4pf ,,terit„-Atoke.4.-.. :41%;rz?,-- *p--,,,-, - a, .2 , ..4wri., 1E.7%....,..1--,1:2-2-„e'T 7.4.441.-...---,:. ,.--, .., t.,..g.4.....-...„_,,,I.,-,-1•r-,,,t. ..-...-4,.......4-,,,.....-,4S-..- `,....4.-, ,':"7----f-: ,e...-'is44447--,-_,-?- v:. - r--------;,t..7-;--,,,,- --„'-i Aaste:-,,, ,,.. ...,,..: REED TRy_,r,,_,._,,..,EXCAVATING. ' ' ,iRAti-#,',-;,,-,,,,q2..-y„./t-1 12 , ,:-,, _ CAddress,Tf,-;1.!;•-f-7,2207 INTER VE SUITE A — ---—-------Veiale#7';_;:'*.:1;--.l':fiRIED TRUCKING SS-8111 ifYIST/Zip -------,-------44. ..,..,-„,,,,,;,,..„:„.T•,•,„ ;..;,....-t,:_.4 Puyallup,W' 98372' #.:3?-t'Telt-'-',..:t-•‘.-t-5-.f' r , ..•-•-•.,-. .,•,,,,,,,..-.K-, •,,,,,,, . ..R.,..,-..-., .*...-,- . %.,...:,,PizoEc. • "-- f'''' --"'- -,' .44.'43:4- ' 411x4:'-'4',5': 3,:'%.*"•' al,..,-.4. .*1...'NameW.Z,' °L.,, s 1 .&.,,. : - ' . :44,1.A.4:4.4 ',..4.1.4.. ' i"...t..,-:'•-li- ,'"' ;., ..,. itl'a lir.5,-. ,, .. s . ..,-- -,,,:...-:,1:4156 RENTON D UVALL , , I ?`-"; -1- Oppift/„..-''.i_,:','S.,,--546;:'A ------ ; ..,,f _ _ _ _ _ zsr..-i-4 --;,#: '...• t'ik7,441:7-44iintr •Ps.f .''rr-4;3017: i C. :irt-0 7-11FR,:-Pinitatett,-* n.iVra ‘z,f‘...diTtkelIC ,...it'''..7:-..':.)34,"•41.'--------7------------------------ ::'..4(fiZiraVet.f.m, "- .0'..,..t.:" ,14..; ,.;%•'''''.4.e . r-1'.:."4.,k/ .*,.' ',,441,Ware;gir,V4R,41V ' tMAJ471 T., ......._._ _ .. ,......... 3120-CONCRETE CSTC 5/8" 1 32 360.00 79 780.00: 0 001 47420 00 lbs 23.71 Tons 1 '---- , Notes: ; ' Signature 1 1 ; ---------------""--*".7•-...............„.......„....................._ • • -. Squak Mountain Materials Inc ' �. P.O.Box 2177 Ticket# 8685 i Renton,W 98056 02/25/2022 01:12 PM i 425.691.88g0 i tWK i417IV - ! i an 8- -27 t MATERIALS' t �- Yf z. „} '� . ,.- US.74IA IA cY x r, 'N m `.p.^Er ; it•,.-.; * 5 " " `Name a�,j<,-_ -1REED TRUCKING&EXCAVATING F,g 4 3^ = V Is # �Addressti�=�`�-��2207 INTER VE SUITE A ___. —"- --""--�-__,..__.�.,.�_,.,°':, ti;.�: ----- J./E SUITE _� Vehicle# - r'4_ ,REED TRUCKING SS-8111 ICity/ST/Zip iPuyallup WA 48372 w —` _ tea- '- 7-r tip 156 REN ON BV.IELL:f k 4, " -�'�"a ?` G Y M1 (fame Atz F r , ;Job;#° �� — - - - -.=.- ,... 4;.:: ,'� �1_ - -- _._ .. _-- -__ _ — l.. t x?.. � I rtJ* f F�= � 11 1 I ,u y { 17 ( I pttoauc ' try T -4 ` . y " oTbRE ,�'gsGt; FCQ14Ft alk'fT �Nf:T 4r} �3120;CONCRETE CSTC 5/8" 32,360.00 80 3d0.00x r - i ; _ ^ 0.00 47,980.00 Ibs;. 23.99^tons Notes: f5 #�' 1 I4 I Signature • 1 • , 1 rsquak ountain Materials Inc i Ticket # 8682 �-. � P.O. Box 2 �� 7 ''= Renton,W'�98056 02/25/2022 11:45 AM i I -* 425.691.88:0 } F E� -x,1 . y Y"s CIUSTbMER "`' t 'a;�"�•� `" � � „° +t, _. .��-.1, .. -',.17.'E,t^ y5 . k ? ,-,.Pies 1, ',y,Erl Name „G. --,REED TRUC NG&EXCAVATING * a.,, ..r`-3lEM,IC% 4`,- .;fw,.- of # .fK.4., Atldress ss 2 LATER A��E SUITE A - ,_ n ,,,,,�'s , 1128, I I 2071 .d=ram =,1T (cYe_'icle# .`- .REED TRUCKING SS-811 — I City//�ST/Zip4 S;Puyallup WA °8372 "" '�� � f 1- t.,y .., "S Y_a x,-a.. - .----. n „i l,F, -,,.,, v2,7 ,- �� y K -�. �i a'v5 r- 7.- - _ `K... y ,'mot -,- 156 RENTON DUVALL - - '=,",,- F;. .,x -s� --, Name ; a� r rz ;ice„ { rz _,_ r rr� xi "' z . , 1 - �t e ice; d4TARE ;"5��'RS ��CQRRs1NEIw z -._..._ T''r -._..;:.h{ "`R.+F,!F 'k �"jk12t. M'+m.+! 43FF*`Mr�v. w"`���f1 .13120-CONCRETE CSTC 5 8" _ I 32,360.00� 80,380.00 0001 48,020.00 l�sf 24.01 tons Notes: Signature r i t 1 � Squak �ountain�Materials Inc �� �� M- � 1 P.O.Box 23�77 Ticket # 8680 Renton,W ,98056 02J25/2022 09:59 AM j 425.691.88$0 • '.. L - , '0 C UST4M ..c ` . ': `� �ti • jName.,: TREED TR &EXCAVATING11?8 LE � � =- :; U NG °Ref # ?1128n { s r _. Adres`s �:_• 22071NTEPy E SUITE — -- -— _ fNti_ .w _ r City%S n #Pu a AVefiicle#"' 'i'REE TRUCKING SS-81 .____..I u TR►•p `� y Ilup WA 98372 f:S D TRUCK! Y y Y _ 7--t.,.T. t,„ r ,.s 5,' =ka x1tPROJECT" z:-1- ' '.r5 F 6-4 t, k ..v r. ;y� 5 ', 1 "g kI '- ca U 1 zr I _ r.Name 156 RENTON DUVALL T' ''" t' ,J; - T RE L - r 3'g,,Ti . s..=u , i :i :.` ,. _ -4 Asu tvADSSK >:'o .,:f• NEF r> ,•t , NE7 T ;312-0 CONCRETE CSTC 5 8" (— ' X = " _.�_ i 32,360.00i 79,580.00L 0.00147,220.00fbs?F 23.61 tons+ Notes: 1 Signature • , quak ,Illountain Materials Inc ' Ticket# 8677 I , Is P.O. Box 2347 , / 02/25/2022 07:55 AM I 425.691.88RentonW80980566414 ; Rt4LS __ .. $ +1.e '_. rrifA� �fl' 'SJ ' Name E ,.. REED TRUCKING&EXCAVATING _ 'Ref._#a -, 1 128 I 59dd�e'ss ; 2207 INTER VE SUITE A '`= -''='"<<"} —_-_ I 1Jehicle# REED TRUCKING SS-811, Ci /ST/ _ - s ty 2zio ,,-:y-; Puyallup WA•8372 . , �, .:-1.3 FO �_ �� rName, n �{ _ �,156 RENTON a s:_ , lex� ;Job'#<rr ------- - — grT "� f. _ I ----_ ''U.... 4a�`o PRt l!!T '.1` ' y+41A- _�.1k.x. �48SS r, .ter-'6QR$ ,3 k. r "]4EE, ,„z+i 4.�•t N T ,3120-CONCRETE CSTC 5/8" yM 32,360.00 80,]60.00 0.00 r�47,800.0.0�Ibs 23.90 tons f Notes: i i Signature I I I I f i kr:11 Squak Mountain Materials Inc r . i j �- .m = P.O.Box 2377 Ticket # 8662 Renton,W, 98056 ! 02/2312022.03:28 PM 425.691.8880 �► G8 -z7 :MATERIALSems_ Name +REED TRUC ING&tEXCAVATING w ' ' * Htct£: { _ ; �4ifdres5: " + E SUITE A t r._ _2207INTER .;,ef#a- = >.{ I x �" . `__'_--- 8 ----- �__ �: Vehicle:,,#,.,' rClt3'/STf2ZC ,{Puyallup,Wq 8372 F , -;REED TRUCKING SS-811, -__ _ , i :.r.�. � ';` '.s�y��q''"r C-, 45E '`$ sr. �' tr 'y�'�' °Y ( .�._._._—.�— .. . a -.,. ."':--`,}!A. � h y¢ : 56 RENTON DUVALL '"� �`it� -� � �- :` 1 13120-CONCRETE C5TC 5/8" :' .,_._1 .--- - ------` ` --.- - . -- '— ____. ______.00.. 80,000.00 0.00 47,640.00 . �'23.82 tons Notes: - -- ' I / 10' ?y 1 T 7 Signature I S : q Mountain Materials Inc ——� { t.:. { P.O. Box 2377 Ticket# 8661 1 Renton,W4 98056 '!" 425.691.8880 02/23/2022 02:51 PM f I I SOLJ4K&VIM Rrai T�'- `F- „r';'e ' - �-_ 'CU,STO,MNIER� VAT . .r`n',Sa- r-•n , zr vs P _ Name BREED TRUC �. �'^ ,;► �, a �c[ . x3 ING&EX �•ii- 11� . _� `� F d s<' {2207 INTER E SUITE A -- - tef tl�.• y = 1 B _• • _ i • = : ,:city/ST/Zip z .Puyallup,WA '8372 —. - Vehicle# r REED TRUCKING SS-811 — e ".,�-3-,...cam Q•r ',fir „}" €. _ l'te. ,6' .7e 'F- y zap PRt3lEGT � ._* •, " ; ,: L ;Name 156 RENTON DUVALL " : "'*�' 1. 4 ►,,k,"1 Z.�;'-4 , � ,-`i.." 1,� ytom'. y0, h `- - at '- <L -' --i • " vim �s�`�. �.."'� r'•- > .� I t1 j3120-CONCRETE CSTC 5�8" I. i `` -- ____ NET': rr `- Ai- �. 32,360.00 Y 80,320.00 -t --- ��� 0.00 47,960.00 bs • 23.98 tons Notes: -=•---- 1 1 Signature 1i I . ._. y ci, S uak Mountain Materials Inc . Ticket # 8659 it'll • t. ._. ,,,, .-- li, P.O. Box 2377 02/23/2022 01:06 PM Renton,WA'l 98056 a A 1 -', . 425.691.88:0 squittritint , efit4fENALs , ,,, -,...,,,-- :..-...-,-,,,d,..... :T:M.-4". ^21:-1-.,',:=''''4,1i,17%';'?'4.t.s,A• 'i:...,I4'• ..f„,4, ''rl' '..... ,;;Ii.tt Z:',.-Nr''..'ffrf"-t‘,.,4.,-:' ....Y.t-14,,...- -=';,;:d_" ,ge._ ,:t...:4.-,i,;;U,V.4,,-''......, N,,dillREED TRUCKING&EXCAVATING . AO.# -.;,: "-::-:::::,-f 1 128 -:::.- --'-:,--7;,,,-)7".-_ ---,-- -----------t--------------- -ip.',-._, '----..i2-'', LAAdra-aa,5':a'-;:;::'f:-l2207 INTER yE SUITE A rVefiide4 ,'-1.''',-!REED TRUCKING SS-811 I ICItY/ST/ZiPT,':.-t,,,1 Puyallup,WA *8372 c'.,-'.- -2-- t ,.-'-' '..Adc.s..taia.--ai,x:,,,,..,,ir..,:ix-vi::)...„...:,,,k,t-ttz.;; ;. , :.:'''',/,;- ,..,-Jwief.,''s',1.--- --4...t,-.4;,,,,,a.„,,-;-,.... -,....:,- -„etrea-•-,--;,,,,, , UVALLr .:-.., ',,-,-•:,,..' ;.:-:','---'?, .1 1 ' gar--..=1;:-.1:-/i.-.-`,7.7 ';','.,::::;',.',,;-;,:..;,'!.?•-ii,i,:',:i: I , ,4:'-'::::-::',:-,--'-7-:','-'''':',:l I i:,-::-.:.--'-':-.,:.'-y•:;,--:-.,,4 7.----------- —11 *WietA.i «m-FtiaitWr:',41k4;,.-4‘.**'.'''':1-4=T;i14:7-1-:-Zdifiii :-. '.`"4.1)qw,t.ti'v'A•.•q:iEr-24-q I.-,1•Wret,*.-r-e .....—,--- .1...... .,*-..,...,, -is...---... , .r.,%.--.,:4.5:-. er ' -"•=t4.,.g--1'.41- - 4, 'v.''A',---, -'t.,• .",'---m.e--- ; --I 13120-;CONCRETE CSTC 5/8" 1 32,360.00' 80,920.001 0.001 48,560.00 13511 24.28 tons 1______ $_—..,— Notes: I • i , • 1 ; • 1 . Signature 1 1 1 1 . I . ' 1 1 [ , 1 I 1: i ' • } ` S uak - --Y._a-_-_-__ ,„ q Mountain Materials _ _ _�__,� i Inc + �� — -�- - -- r -- P.O. Box 277 Ticket # 8656 Renton,W 98056 IsSCUM'(NM 425.691.88:0 02/23/202212:35 PM ?OVALS i 6, e -ri i I ' � . a T"4 y 'G�1;ST01 IER �s� 'f}#str < i IName u n REED �'=` ` �� ,,...7.4....... sc y � c I €Atli es F' z --TRUC ING&EXCAVATING - '``w f ' 111 a [ i� '.. .: 4:;:,,,,, S' -,:.2 7 ER — __ __ _ Ref 3 _" ,, ;� 20 INTER =VE SUITE A ---•- #',__,:t^,, 1128 � .-3. €. _Gityl`S174.• =�P all ,- -- _ ..._._.__... 1%ehicl ,a,. ° - _ - - ______ b aY up WA�8372 - ---r x e# BREED TRUCKING SS-811. ~i " 4`'S"sa'-r� �` �,gie' •RVI � ,., .irk. �, ,,. f __.j`.__^---- _ Name', 1 ..-., t- RENTON n UVALL r', ,: ,, r'g � F a .. ,,` �,� � - __ ;Job# '� c� r � '` 1_aT.,,.�., k 'S-f� ezr.,s ... .sue;-'„�-•...,,,` ` `' M1''�'z' pR�OII 4 r'} F �° s ' s c it t, I f 31 20 CoNCRE[E CSTC 5/8" 1 tt4"' gip?Y OQilf� "'za.NET�5"."W ',-�.•-.-...;. _. 2,360.00 ' T° NEfr ''ti` F_____E- 1 79,640.001 0.00/47,280.00 Ibs)__3- - Notes: �� 1 23.64 tons t i Signature ..... ............... .................................................. i f . , . 1 --- ‘, , f • , A;.:,...,.. ,Squak Mountain Materials Inc i • Ticket# 8651 1 P.O. Box 2377 02/23/202211:03 AM 1 Renton,W4 98056 t • , 425.691.8880 1 alg 4-- 7 i stlitAiieseriv j1/4TERIALS .4..4A1.0.) TOMERif-.1.4vt.ti'n ,"1.4.4.1..„ 6A- ,_::.,...,,!..,.4, ......1.,:,—,0- ,ix. ... o. . ,-it,e--...44....,,trde-7-%.!.:1,-".A.,!..=:..-., -T... ,,,..4.1.16. '.74:c."2.:',..4'**.t.'*--.•;nT.:i.,'".."1...*4.-^AT---i:•,''ro:.....---444 . . , . . FName REED TRUC 'ING&EXCAVATING 140:#,-:;,, ••.::',2. '.-.111128 • - . - J - ..7,;:-;,.:.•,:::•,, 1------------- iliOal*S.7-7'- '"-,:"-i2207 INTER AVE SUITE A . ',.:Vetiicfe"it REED TRUCKING SS-81 1 ,':..--...._.---...--...-..14--- --_-.-__—________--...— ,,,.-.- elti/ST/Ziii?.'i.':',4 Puyallup,WA 88372 ' ! " _ !":,..72,,..".•.'..,-.;`,-t-.:.,-;4,i.,..-t: , V,vr.,...,-44...b ,,,,,,,,v.,. .art, pi.,4, ..-;•,-....,. ,: , .A. *ite-••cemzov?,LY-' 4.,.:,V3`.04.1'is, '-.*:: ..,1,-,,,4i,...-:•.--..-... , ' : -2 :1.17 A:4,,-,,tek.",,:444v-4.4.. ,, ,,,,.s-7--7*.ti.,* ,-..,-,z,;.-......o.v.,„;:z.:::;,-.. A0Prie.::,-,,::.,:-`,,::1156 RENTON DUVALL , -,;-4;-:-,:..t---------,------,-----------— - • ------ ---...;,.;,,,,,---,",- -_-..-:,:..'. ...,2';•,..-;,-'''..1--- ' ------------:;-------------,---1 Iciti-4-;-4--..'.:,--: -.1:"-;"i' - -...?•; . .,,,:. 1..L.L..._ :-,...p--"------.,',:sv•.::'-',..z",--J*74.--4----------_-, ------------------------- --1:f.'?.,' `,;', 41, =:.' ---------------4------------------I, •.-."-'''. "...-.?&,-,:',."-.:%1`;:n.7:f4 . . .. ..: .---___ ---Zw- -- AlliciZP,14.1-g:ftrt'T-45t .4%71ATErY',Vedic's-A ttilifitV4':"Iit•r•;;',$•'"-'' ''''—"*. • •;.,:t .,7....,•,-". ,', f 3 1 20-CONCRETE CSTC 5/8" 32,360.06 76,540.00 0.00 f 44,i 80.00 bs I 22.09 tonsl Notes: • • Signature .......................................................................................... • • • • • • , . • . , , ' I . • . , , • • • • • i , . S os+aasl M ounta#12.‘ 14, il i.n.MateriaIs—Inc— ._ -- - _ -- __. ^ _ _98056 F Ticket #8648 8 ' 02/23/2�22 09:08 AM 425691.88$p /yf1 /i d N S' s' . ', � - e *4 s V, r=Name. � '- REED TRUCK NG _ EXCrAVATING . Re # ' 1 Ae < F—� — i , .. ar ..,, _ i__. _ — 1ddress2INTERAESUITE A Vehicle ` ~> REEQ TRUCKING SS-811 M- _________.......__________-kw,-, "_ __ _ , - . 1lGiy/ST2ip Puyallup, WA 9:372 =� ame r 4s'`�:, 156 RENTON DU_VALL s 3120-CONCRETE CSTC 5/8" � —_--___ I 32,360.00 � ----1 "�_ -NEr �'-.� "_`�._.__._�._____� —`—CONCRETE 5/8 78,620.00i 0.00( 46, 60.001bs1 t Notes: 2 23.13 tons t• l 1 Signature . il i i . ...._......._.. _ . , Ilik Squak pAountarIaterials Inc I1,, ,_ _ ! Ticket # 8663 P.O. Box 2377 ' 02/24/2022 07:23 AM 1 i , I— Ajar Renton, 98056 W I 1 6 i 3 '•' .. 27 ' ."•111w— 425.691.88 0 • i ' • i , , 41711AK MTN itirAY7ERIALS I , ..,.- .,........ .., ..,.,4.: - , --,0,40., --4".•' -,.,'-- 44. ),f,<'":-1,„,-;vrtr.'. i,.:•, ,,4%.,„ „„...-e-t-r- ,„,.., iv.71774-1LIV„ Zi;:,541,7*W-i.-' ‘4,C,Afn. '4.."4.i.".?., AtimicEMz- =-..'•!:',"'''..„:,..„y- -- '-',-, -." - . ...--_ ... .•14aiiie.,:-',-"'i:::;:-.;'2,-;-..':_i REED TAUC .I_NG&EXQAVATING °ef•••-.44,'-'''''-',75,'=',.-4---,i'..1128 I . 1 - i , F., 'i-i:f,-;,--:-,,,,-1,-..f::::,•=',743:-+----1 ---- "-- Address----'-2,- :,2207 INTER AVE SUITE A 19.66faie.`-#:::::9;-3-'REED TRUCKING SS-811; --1 ity/STIZip---—,-,Puyallup;WA °8372....,- ,-- i t .....,,I- sr*')*;;'-<F'a-4`- ' . &OS * - ---j--4'.t.-to,* .4;.,,,-le i'; - ' '', • ..- EC. :,, :.......C.41,L,.... ... ...... .7......-, , -,, . - - , [Niri6":;i'.:;".:,...-,.:1-41156,RENTON DUVALL f,'.::',-.t,'',''.:,-=`i..,•:-.-:;L:rkr,t,',71 1 ' t i t,..; Joli*::',,.:r!,.':'4;';::.-,i'l:;:ii ' I r4-4T,'..:-.,..-.,;,:._,'":;,-,. .,t7I , ,--- -,...,,.u.,-,,-...,.:,,-34,..-=,,,,,.... - ,F.,‘,1;.':',`:::!...::,S.';'..,...-4-..-,,i'J,,: r .1.:::4 I , ,.,-, ,,‘2,,,',,,:€:,•,:..:-. '..1„,;,... --,4t: -;.-- !-,--10.?-...dgi•iirrit-----74,..-.40,feAET,,,eu"t --Ha-:..".14,. !37 20-CONCRETE CSTC 5/8" , 7 32 360.0CP 78,340.00i 0.00i 45,980.00 Ibs 1 • 22.99 ions 1 I 1 • , 1 ; . . , Notes: ' r 0 3 • . , Signature • ! , . ....—. . • l Squak Mountain Materials Inc „~ Ticket# 8666 I. _ P.O.Box 2377 i 02/24/2022 09:04 AM Renton,WAi98056 u i _ 425.691.8880 /r a� A- L? SQU,AK lifTN {I Cv� E MA ERZAiL.+ } j tName'1h f:,�REED TRUC'ING&EXCAVATING IRef#, 1128 r r it (Address ors :12207 INTER VE SUITE A t V- ^II -----_... ___ _ s 1.--;,_;, >' . _ Ve[licle.#r ; _ R( ED TRUCKING SS-811 �CityfST/Ztp ,Puyallup WA 8372 •:C.k ... $ .., r ;, Rdi,,t ,' g ` ,, " �'�You*j} `k „w '�.y•�,. :-.._ i.. _ ' .. �+�. .�G , Name 156 RENTON'bUVALL i Job k1 ) — — -- __-- ° airei" 1 13120-CONCRETE CSTC 5 8" y _ ( ��� ��� Y___ / I 32,360.00i 78,580.00,- 0.001 46,220:00Ibs . 23.11 tons Notes: Signature • 1 ((i 1 II • • { ! kittly- SquakMountain Materials Inc Ticket# 8667 i , its.,.... Ito P.O.Box 2377 02l24/202210:41 AM Renton,WAG 98056 • 425.691.8880 /0 g ail-t?7 ' S#l1AJ�L AIM' M4 ER:4LS . '�dr0', s.-tz� 7.• 7 a r S7*OMEw'� �„nr:.4 " xF ' • t •9r. fi Ft "*i _^ te+"� UE jGk� _1 , .. '*"1'. >REED TRUC G '=; Address`Y= 2207 INTER �/E SUITE A EXCAVATING —_... - _ Ref # � i �" _ Vetncle;# - REED TRUCKING SS-811 City7SlYZip y Puyallup WA 98372 - r 1 , — ...h -�. + •, ,a : : ��4oJECT_- , , ,w "�i , rk-, is, Pw; gM `i 7: -v+'�` 4- 4 ,„,, sVktme - a r ,156 RENTON uUVALL ?, : -�,"K < i j - "0:> , . ; :tr;;'Job;# 1 � -:�� �A �� _Y- E,. . _ ,_ Ro ��` GORRf sdrt d �,t :a. 11Efs 13120-CONCRETE CSTC 5 8" =+) _—�—f — ice_ 8 -=- I __ — / _ _ 32,360.00 i— 79^040.00 O.00Y 46,680;00 Ibs I 23.34 tons 1 Notes: Signature I I I _ li , Squak Mountain Materials Inc ;. , P.O. Box z 77 Ticket# 8669 1 �j 1 02/24/2022 12:16 PM .it , Renton,W498056 ` , ': "425.691.8860 SWAM MTN r5Name : 'REED TRUC ING&EXCAVATING , 1128 Tess Ref�#� -;" `r Add 207 INTER A\/E SUITE A — — .:: -r': _ # - n=.._,=-%,X ,__R A VOhie REED TRUCKING OCttyiSNIP : Puyallup,WA.98372 �_ _ L I ' { , Z. 3e3 - , 5+ .' _,l .4A ,F-.. JC s r. A 'aa` " -a, 1�t, '� � r rNames ai156RENTOV OUVALL,,• r:: i I `5i.,. -,•._-:! '..•i,'a i.-II-1.,' ' i =' =?`';;;;tea-Y•:.= ...._._.......__..a,._-"—.Y_ v';f,V):" ;r':..Z.'., rt'..---1- 13120-CONCRETE CST 5/8" _ I 32,360.00! 79,880.003 0.00i 47,520.00IIbsii 23.76 tans i I^ Notes: 1 I . Signature li I C ; i 1 - Squak Mountain Materials Inc P.O.Box 23�77 Ticket # 8670 r I Renton,WA,,98056 02/24/2022 12:56 PM 4 y 'law 425.691.8880 (� _�� I i NOVAK 1iirAI # 11/IA ER!ALS' {-`EaT� ,,1"" � ` UstOmER ' r;-- x 4.7 . EName REED TRUC 'ING&EXCAVATING.t f T. # r:- . > — — _.. Ref # 0111, Address,;._:>122 71N A _ iAddr.- _ . ._-__. 0 ER SUITE r , ; $- T UE Vef c(e#�: ;':rt' REED TRUCKING SS-811��,. � ITE (city/ST/Zip " : Puyallup WA 98372 '— _ -` r :I; 1 ; ."' M. • -u [ 'ROI.r t_ i.- ` r x "' ?ya.ti ^ ,` c ` „„-:' _".,-.., �-.7-. ;} __-3 .: E` .t'+, =+,r-v,' .2x�sr.a' iName< _ 1,1156 RENTON DUVALL x ='' _� ^ '` '= _ �- I • tr VIODUCT *"}f5 ; MIArTAR »a GRxOS r ;;CORK r 'NET•,. t- NET"-' t _ .. • 13120-CONCRETE CSTC 5/8"� —! 32,360.001 79,160.00 0.00t 45,800.00 Ibsi 23.40 tons • Notes: Signature r , , I . Squak Mountain Materials Inc { Ticket # 8671 P.O.Box 2377 'I 02/24/2022 01:30 PM Renton,198056 0 eg 4`27 SDLL4K MTh MATERL4UI -: y"0,_ `;r aif�QSTOMER ._ ;p`r, a I c , VERI I ,'x .,- .- , 441- :14-, r-w_ 1N EXCAVATING R6.- ., = _ � . f� REED TRUC G& __ a~ a .�' r j 1128 � I f -��`�" ____2207 INTER�� E SUITE : �'——�� FAddress,-=�;p-5JA 'r ,-,,. r, r ,-fr _ Vehicle,#> .. REED TRUCKING SS-811 Cityiglaip� i Puyallup,WA 98372 i - 5 +.� c-.--� ,yr z�;..ii y., ..may' ."r .-� ,r�y 1y y.� �., - ,;a; x C e 3 t t i ate,, Tsai w_ ' x",E4 .4: pviligag. .i ?, ., -.�..�..y+' r, r�'-,ram' i ,(1 ,v,`,---c`--m- _ vs.'..is I ,t„; :-:- y,.� t`...' ' bNanie 156 RENTON DUVALL ,, 1 E , _.... _ ,iii0b40,_,-•,_„:::,.....„..„ .,.__........ ._,..,:_....1 „.....„,,,..„,,,,,:.,,,..,,,-,7..,, --,:f i � —.x C w "s`IaRODU:I G4'I}l '" ,.k{4 �`iTA R6 '��GRQSS,f CORR .*c�; ET ,sFz NE7' .., 1,3120-CONCRETE CSTC 5/8" 1 32,360.00 79,920.00! 0.00 47,560.0•,Ibs 23.78 tons! Notes: i I f Signature I I 1 ;. ICON Materials Time: 12:46:25PM -? .t a 04500-Auburn Asphalt Vehicle: REED747 N -,,.-._- 4040 Kersey Way CON Auburn,WA 98092 M A 3 E R A L S Order:60439 Pounds Tons - Customer: ----— Disp#: 31,020 15.51 Cust.Name: Reed Trucking&Excavating Gross Job: 2 ,60 1 . 1 Address&instructions: Tare 4 P.O.: #156 3,340 1.67 Renton Net Weighmaster: Mike Morris Loads Tota Q Tick t VQM Prgduct 12144230 1/2"PG 58H-22(64-22) 1 1.67 1.67 Ton Thank you for your business! WARNING HOT MIX ASPHALT(HMA)TEMPERATURES CAN EXCEED 330 DEGREES.Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. - — — Ticket # 8fi 11 Squak Mountain Materials Incipk,.... o2t1a/2o2zo9:o8AM II P.O.Box 2377 ����� Renton,WA 98056 r„* W 425.691.8880 MATE MTN i'. yEHfCIE CUSTOMER i Name REED TRUCKING&EXCAVATING Ref.# 1131 # REED SS-614 _ Address 2207 INTER AVE SUITE A Vehiclei City/ST2ip Puyallup,WA 98372 ,. . tia 1 = PROJECT % Name 156 RENTON DUVALL Job# : , r __ ____ -._.,__ ".___......._.._....x.._.._-__, PRODUCT i TARE s GROSS ; CORR NET NET r 3120-CONCRETE CSTC 5/8" 31,800.00 80,020.00 0.00 48,220.0s Ibsl 24.11 tons' Notes: Signature . KANGLEY -4.,, Kangley Rock&Recycling Locations --y,, ROCK & RECYCLING KANGLEY PIT (Plant#21) BLACK32500 RIVERE V P Rd., (206)sdale,58-0 WA12 98o51 DELIVERY TICKET ACCOUNTING:9125 TENTH AVENUE SOUTH 510o erR (Plantentn 22 -`805 656 0912 510 Monster Rd.Renton,WA 98055 SEATTLE,WA 98108 • (206)768-1000 LAKE FRANCIS (Plant#23)-(206)658-0872 ACCOUNTING (206)768-1000 22501 SE Lake Francis Rd.Maple Valley,WA 98038 FAX (206)763-2730 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC. Cedar Mountain Reclamation SALES& 17877 Cedar Grove Rd.SE.Maple Valley.WA 98338 Plant#20-(206)658-0913 ORDER DESK (206)768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB I LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. ORDER NO. PROJECT PLANT# J4'7.17'1/11'' 7 y "1`=,';a? 77S47 I - CUSTOMER NAME 1 1! CUSTOMER P.O. 'JOB NO. DELIVERY TICKET NO. rI At- alcK a u E CAVAT 'C ;NC C e-:;,, : 7 . `�T1! COLLECT ON DELIVERY(C.O.D.) ) ❑CASH ❑CHECK# ❑CHARGE RENTON SPECIAL INSTRUCTIONS CARD# EXP. ❑VISA ❑MASTERCARD ❑ DISCOVER PRODUCT TOTAL QUANTITY U.M. CODE DESCRIPTION TONS UNIT PRICE AMOUNT 14.11 TN 6 t 1 5,1$*CSTC TOP COURSE B 231 II . 14.11 TN $110 WA STATE SICK LEAVE SURCH 1.•' 14.11 TN i,i 15 ENVRONNENTAL SURCHARGE 1 i jk4 Ga vss 5 .$ ) Tare 27200.00 N.t r3220.00 DRIVER TRUCK NO. ORDERED BY REMIT PAYMENT TO 1- "'' 9125 10th AVE.S. SUB-TOTAL DISPATCHER TAX CODE TIME DUE SEATTLE,WA 98108 °.'* TERMS ON REVERSE SALES TAX RELEASE- CUSTOMER RELEASES AND AGREES'TO HOLD HARMLESS KANGLEY ROCK&RECYCLING,A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE.DETAILS ON REVERSE. CUSTOMER SIGNATURE - , TOTAL PRINT NAME DATE AMOUNT REV 04-2009 CUSTOMER COPY I DELIVERY TICKET SUMNER SAND & GRAVEL ACCOUNTING (206)763-9715 2721 E.VALLEY HWY. E. FAX (206)762-2358 SUMNER,WA 98390 SALES& ACCOUNTING: 9125 TENTH AVENUE SOUTH • SEATTLE,WA 98108 • (206)763-9715 ORDER DESK (206)763-9715 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. ORDER NO. PROJECT PLANT# CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. JOB ADDRESS t COLLECT ON DELIVERY(C.O.D.) f ❑CASH ❑CHECK# El CHARGE SPECIAL INSTRUCTIONS CARD#\ \co.....,„ EXP. ❑VISA ❑ MASTERCARD ❑DISCOVER QUANTITY U.M. PRODUCT TOTALS CODE DESCRIPTION TONS TON UNIT PRICE AMOUNT "''78 Tiff 011 CONTRACTORS SAND B —7.. IN keli0 WA STAIE SICK LEAVE tJRf H A -*.;",' TN i0015 ENVIRONMENTAL PC eG3. 1 i I f 375£'r0 14;1 DRIVER TRUCK NO. ORDERED BY REMIT PAYMENT TO 9125 10th AVE.S. SUB TOTAL DISPATCHER TAX CODE TIME DUE SEATTLE,WA 98108 TERMS ON REVERSE SALES TAX RELEASE—CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS SUMNER SAND&GRAVEL FOR ANY DAMAGE TO HIS REAL OR PERSONALPRORETY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. BALANCE FORWARD DETAILS ON REVERSE. ,, CUSTOMER SIGNATURE " .-9-- ‘.. TOTAL PRINT NAME AMOUNT e ` DATE CUSTOMER COPY • RANGLEY -.-.,,, Kangley Rock&Recycling Locations , ROCK & RECYCLING KANGLEY PIT (Plant#21) 32500 SE Kent-Kangley Rd.,Ravensdale,WA 98051 ACCOUNTING:9125 TENTH AVENUE SOUTH BLACK RIVER (Plant#22) l206j 658-0912 DELIVERY TICKET SEATTLE,WA 98108 2068 1000 510 Monster Rd.Renton.WA98055 ( )76 LAKE FRANCIS (Plant#23)-(206)658-0872 ACCOUNTING (206)768-1000 22501 SE Lake Francis Rd.Maple Valley,WA 98038 FAX (206)763-2730 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC. Cedar Mountain Reclamation SALES& 17877 Cedar Grove Rd.SE,Maple Valley,WA 98038 Plant#20-(206)658-0913 ORDER DESK (206)768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB !LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. ORDER NO. PROJECT PLANT# (r -II IA -70 T^^.Y' yr. CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. r< : .NG & IL/A 1N JOB ADDRE E{� SS 9TH ST NE &DUVA _L A COLLECT ON DELIVERY(C.O.D.) RENTON ❑CASH ❑CHECK# ❑CHARGE SPECIAL INSTRUCTIONS CARD# EXP. ; ❑VISA ❑MASTERCARD ❑ DISCOVER QUANTITY U.M. PRODUCT DESCRIPTION TONS TOTAL CODE UNIT PRICE AMOUNT 11 5/fr C.S TC:TOP COURSE B 731 24,E — 10 WA STATE SICK LEAVE SURCH 2.t. T 7 )15 ENVIRONMENTAL SURCHARGE 4.,,.,..;, 1 t ya-,.:,, - 7L t,) ! Lire 32 x4O OC ;N:-: C r4 0, 00 DRIVER TRUCK NO. ORDERED BY REMIT PAYMENT TO `I"'1PP51.g 9125 10th AVE.S. SUB-TOTAL DISPATCHER TAX CODE TIME DUE SEATTLE,WA 98108 a+Pa ' 14 ^*j TERMS ON REVERSE SALES TAX RELEASE—CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROCK&RECYCLING,A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE.DETAILS ON REVERSE. .../ r.t 1 TOMFR SICNn-ruaC ��- `" ,,,,.,,, TOTAL PRINT NAME \VJ DATE AMOUNT IEV 04-2009 I CUSTOMER COPY I 1 ANGLEY ..., Kangley Rock&Recycling Locations ....... ROCK & RECYCLING KANGLEY PIT (Plant#21) 32500 SE Kent-Kangley Rd.,Ravensdale.WA 98C51 ACCOUNTING:9125 TENTH AVENUE SOUTH BLACK RIVER (Plant#22)-(206)658-0912 DELIVERY TICKET SEATTLE,WA 98108 • (206)768-1000 510 Monster Rd.Renton,WA 98055 LAKE FRANCIS (Plant#23)-(206)658-0872 ACCOUNTING (206)768-1000 22501 SE Lake Francis Rd.Maple Valley,WA 98038 FAX (206)763-2730 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY INC. Cedar Mountain Reclamation SALES& 17877 Cedar Grove Rd.SE.Maple Valley,WA 98038 Plant#20-(206)658-0913 ORDER DESK (206)768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. ORDER NO. PROJECT PLANT X'~': 1':s1 ?7IA1 CUSTOMER NAME CUSTOMER P.O. !JOB NO. DELIVERY TICKET NO. JOB ADDRESS' INC COLLECT ON DELIVERY(C.O.D.) ,, 1 .ro W Al DUVAi I_ AVE NE ❑CASH ❑CHECK# ❑CHARGE SPECIAL INSTRUCTIONS CARD# EXP. f VISA ❑ MASTERCARD ❑ DISCOVER PRODUCT TOTAL QUANTITY U.M. CO DESCRIPTION TONS •, UNIT PRICE AMOUNT 23.41 TN 11 5, CSTC TOP C SE 8-231 31 119-' 23.41 TN i74 18'10 WA STATE SICK LEAVE SUal 23.41 23.41 TN 70415 ENVIRONMENTAL SLACHARGI 2.41 1 DRIVER TRUCK NO. ORDERED BY REMIT PAYMENT TO "`"," 9125 10th AVE.S. SUB-TOTAL DISPATCHER TAX CODE TIME DUE SEATTLE,WA 98108 Vit, TERMS ON REVERSE SALES TAX RELEASE—CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROCK&RECYCLING,A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,`INC. F R ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DELIVERY OF MATERIALS LISTEOABQV€ ETAILS ON REVERSE. CUSTOMER SIGNATURE..--- TOTAL PRINT NAME ``,'o4'.- AMOUNT -•r DATE �/ �ii//12... REV O4-2009 '--^" CUSTOMER COPY KANGLEY ^,, Kangley Rock&Recycling Locations ... ROCK & RECYCLING KANGLEY PIT (Plant#21) 32500 SE Kent-Kangley Rd., (206) dale.58-0 WA12 98051 DELIVERY TICKET ACCOUNTING:9125 TENTH AVENUE SOUTH BLACK RIVER (Plant#22)-{206)658-0912 SEATTLE,WA 98108 510 Monster Rd Renton,WA 98055 • (206)768-1000 LAKE FRANCIS (Plant#23)-(206)658-0872 ACCOUNTING (206)768-1000 22501 SE Lake Francis Rd Maple Valley,WA 98038 FAX (206)763 2730 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY INC. Cedar Mountain Reclamation SALES& 17877 Cedar Grove Rd.SE,Maple Valley WA 98038 Plant#20-(206)658-0913 ORDER DESK (206)768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB I ARRIVE PLANT DATE CUSTOMER NO. ORDER NO. PROJECT PLANT# 1}?;14 NKr' -,-7 ,,red 7 1 CUSTOMER NAME CUSTOMER P.O. !JOB NO. DELIVERY T CKET NO. 'IFri TRCKNG &EXCAYA ` INC — JOB ADDRESS 9TH ST NE bDUVALL AVECOLLECT ON DELIVERY(C.O.D.) RENTON ❑CASH ❑CHECK# -- -- ❑CHARGE SPECIAL INSTRUCTIONS CARD# EXR ❑VISA ❑ MASTERCARD ❑ DISCOVER QUANTITY U.M. PRODUCT DESCRIPTION TONS TOTAL CODE UNIT PRICE AMOUNT •k Z-J29 1 IV &'O1 I Sdfr C5 .0 1 OF COURSE B Z31 Zan `aii' 2329 TN 7%1O WA STATE SICK LEAVE SURCH 2329 D29 TN 79015 ENVEMENTAL SURCUAR+G1 �y 00 I 4i.. .. ft1'nb 7t1r.� t 00 DRIVER TRUCK NO. ORDERED BY REMIT PAYMENT TO SUB-TOTAL -, c .i 9125 10th AVE.S. DISPATCHER TAX CODE TIME DUE SEATTLE,WA 98108 SALES TAX WA 1 t I"T' t 71 TERMS ON REVERSE _ RELEASE—CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROCK&RECYCLING,A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR:MY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DELIVERY OF MATERIALS y6 WED ABOVE,,IXTAIL3 ON REVERSE. "TOTAL Cl 1SZOMERS\G\VNIPE �, AMOUNT DATE---- W%Kt REV 04-2009 ._. ' KANGLEY --,. Kangley Rock&Recycling Locations ---,, ROCK & RECYCLING KANGLEY PIT (Plant#21) 32500 SE Kent-Kangley Rd.,Ravensdale,WA 98051 ACCOUNTING:9125 TENTH AVENUE SOUTH BLACK RIVER (Plant#22)-(206)658-0912 DELIVERY TICKET SEATTLE,WA 98108 (206)768-1000 510 Monster Rd.Renton.WA 98055 LAKE FRANCIS (Plant#23)-(206)658.0872 ACCOUNTING (206)768-1000 22501 SE Lake Francis Rd.Maple Valley,WA 98038 FAX (206)763-2730 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC. Cedar Mountain Reclamation SALES& 17877 Cedar Grove Rd.SE,Maple Valley,WA 98038 Plant#20-(206)658-0913 ORDER DESK (206)768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB I LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. ORDER NO. PROJECT PLANT# CUSTOMER NAME CUSTOMER P.O. !JOB NO. DELIVERY TICKET NO. 'NI%: 4d.€CAVIL NG INC JOB ADDRESS 1, iti'",a . s%mE1 lF; COLLECT ON DELIVERY(C.O.D.) ❑CASH ❑CHECK# ❑CHARGE SPECIAL INSTRUCTIONS CARD# EXP. ❑VISA ❑ MASTERCARD ❑ DISCOVER PRODUCT DESCRIPTION TONS QUANTITY U.M. TOTAL CODE UNIT PRICE AMOUNT '4.,.''2 30 TN 62 i i . : . _. .mot>. . ,a ....s ..,_ -� 22._ '} TN 70010 WA STATE SICK LEAVE �C 22 22,30 TN 70415 ENVIRONMENTAL SURCHARGE 2,2t • DRIVER TRUCK NO. ORDERED BY REMIT PAYMENT TO 9125 10th AVE.S. SUB-TOTAL DISPATCHER TAX CODE TIME DUE SEATTLE,WA 98108 TERMS ON REVERSE SALES TAX RELEASE—CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROCK&RECYCLING,A DIVISION OF GARY MERLINO CONSTRUCTION COMPA.NY, INC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE.DETAILS ON REVERSE. CUSTOMER SIGATE •,,-"N I°/ 1 TOTAL PRINT NAME 4""1 DATE '4 AMOUNT .++ ' IEV 04-2009 _ . CUSTOMER COPY KANGLEYN --�., Kangley Rock&Recycling Locations ' ROCK & RECYCLING KANGLEY PIT (Plant#21) RECYCLING C 32500 SE Kent-Kangley Rd.,Raven`sdale,WA 98051 ACCOUNTING:9125 TENTH AVENUE SOUTH BLACK RIVER (Plant#22)-(206)658-0912 DELIVERY TICKET 510 Monster Rd.Renton.WA 055 SEATTLE,WA 98108 • (206)768-1000 LAKE FRANCIS (Plant#23)-(206)658-0872 22501 SE Lake Francis Rd.Maple Valley,WA 98038 ACCOUNTING (206)768-100032 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC. Cedar Mountain Reclamation FAX (206)76730 17877 Cedar Grove Rd.SE,Maple Valley,WA 98038 SALES& Plant#20-(206)658-0913 ORDER DESK (206)768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB I LEAVE JOB ARRIVE PLANT DATE CUSTOMER� �# NO. ORDER NO. PROJECT PLANT# .1 .`t I - 1.�O:NI ,<23r34 CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY~TICKET NO. JOOB ADDRESS�. � �,r 9TH ST NE&DI.NALL AVE COLLECT ON DELIVERY(C.O.D.) REh rN IDCASH ❑CHECK# ❑CHARGE SPECIAL INSTRUCTIONS CARD# EXP. ❑VISA El MASTERCARD 0 DISCOVER QUANTITY U.M. PRODUCT CODE CT DESCRIPTION TONS TOTAL UNIT PRICE AMOUNT ,' TN 620 i `: Mr'CSTC TM'COURSE B-231 25Z , ,.;, IN /00 1 . WA S T AlE SICK LEAVE SLWICH 2573 25._. TN 70015 ENVIRONMENTAL SURCHARGE 2573 is id( 111f!t 51 DRIVER TRUCK NO. ORDERED 8Y r-,1 „.,3 REMIT PAYMENT TO SUB-TOTAL 9125 10th AVE.S. DISPATCHER TAX CODE TIME DUE SEATTLE,WA 98108 WA 1 'j- TERMS ON REVERSE SALES TAX RELEASE—CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROCK&RECYCLING,A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE.DETAILS ON REVERSE - CI_ISTf)M ER SIGNATURE TOTAL PRINT NAME ^,----DATE AMOUNT EV 04-2009 , CUS TOM rER COPY ( KANGLEY --r,, Kangley Rock&Recycling Locations ROCK & RECYCLING KANGLEY PIT (Plant#21) 32500 SE Kent-Kangley Rd..Ravensdale,WA 98051 ACCOUNTING 9125 TENTH AVENUE SOUTH BLACK RIVER (Plant#22)-(206)658-0912 DELIVERY TICKET SEATTLE,WA 98108 • (206)768-1000 510 Monster Rd.Renton,WA 98055 LAKE FRANCIS (Plant#23)-(206)658-0872 ACCOUNTING (206)768-1000 22501 SE Lake Francis Rd.Maple Valley,WA 98038 FAX (206)763-2730 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY.INC. Cedar Mountain Reclamation 17877 Cedar Grove Rd.SE,Maple Valley,WA 98038 SALES& Plant#20-(206)658-0913 ORDER DESK (206)768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. ORDER NO. PROJECTPLANT# CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. JOB ADDRESS t COLLECT ON DELIVERY(C.O.D.) ❑CASH ❑CHECK# ❑CHARGE SPECIAL INSTRUCTIONS CARD# EXP. 2 VISA ❑MASTERCARD DISCOVER PRODUCT UNIT PRICE AMOUNT DESCRIPTION TONS QUANTITY U.M. CODE TOTAL TN 641 t 5:13"CSTC TOP COu• 2 =, n TN 7010 WA STATE. SICK LEAv`r ,; a?"; TN 70015 ENVIRO± MvN r '. UP Gtf DRIVER TRUCK NO. ORDERED BY REMIT PAYMENT TO 9125 10th AVE.S. SUB-TOTAL DISPATCHER TAX CODE TIME DUE SEATTLE,WA 98108 TERMS ON REVERSE SALES TAX RELEASE—CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROCK&RECYCLING,A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE.DETAILS ON REVERSE. CUSTOMER SIGNATURE y TOTAL PRINT NAME j. •°-�� ' DATE AMOUNT EV 04-2009 CUSTOMER COPY RAIVGLEY ..... Kangley Rock&Recycling Locations ROCK & RECYCLING KANGLEY PIT (Plant k21) 32500 SE Kent-Kangley Rd.,Ravensdale,WA 98051 ACCOUNTING:9125 TENTH AVENUE SOUTH BLACK RIVER (Plant#22)-(206)658-0912 DELIVERY TICKET SEATTLE,WA 98108510 Monster Rd.Renton,WA 98055 (206)768-1000 LAKE FRANCIS (Plant#23)-(206)658-0872 ACCOUNTING (206)768-1000 22501 SE Lake Francis Rd.Maple Valley.WA 98C38 FAX A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC. Cedar Mountain Reclamation (206)763-2730 17877 Cedar Grove Rd.SE,Maple Valley.WA 98038 SALES& Plant#20-(206)658-0913 ORDER DESK (206)768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. ORDER NO. PROJECT r-ytj., ' T+)1 t i� � 1 i (PLANT# i.7 i �, CUSTOMER NAME {���++ �yj��+�A yyp+ CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. X KNG bS EXC 1V TAG +i_YC 9TH ST NE&DUV AVE# COLLECT ON DELIVERY(C.O.D.) RENTON CASH ❑CHECK# ❑CHARGE SPECIAL INSTRUCTIONS CARD EXP. / I' D VISA ❑MASTERCARD ❑ DISCOVER QUANTITY U.M. PRODUCT CODE DESCRIPTION TONS TOTAL • UNIT PRICE AMOUNT 2318 11 '.,•.1-r*e.Jew a3 t.:..•; 4.It ot+i0.1 23.18 TN 70010 WA STATE SPCK LEAVE SURCt1 F3118 2 3' .18 TN 70 15 ENi 3NMMENTAL SIN CHAR1 --'- - 4 Gri.1* 72.40.00Tate J O_00 Net DRIVER TRUCK NO. ORDERED BY REMIT PAYMENT TO T`,4i71,961 J 9125 10th AVE.S. SUB-TOTAL DISPATCHER TAX CODE TIME DUE SEATTLE,WA 98108 WA ' .171.50 r TERMS ON REVERSE SALES TAX RELEASE— CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROCK&RECYCLING,A DIVISION OF GARY MERLINO CONSTRUCTION COMPANYf1NC. FOFy.'ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DELIVERY OF MATERIALS LISTEg.,ABOVE.D AILS ON REVERSE. CUSTQMFR SIGNATURE 1 TOTAL PRINT NAME >1' b` . w�.`°— -.—...__ AMOUNT • DATE IEV 04-2009 CUSTOMER COPY • 1%MF4ULEY ...,,,* Kangley Rock&Recycling Locations ,.., ROCK & RECYCLING KANGLEY PIT (Rant#21) 32500 SE Kent-Kangley Rd.,Ravensdale WA 98051 ACCOUNTING:9125 TENTH AVENUE SOUTH BLACK RIVER (Plant#22)-(206)658-0912 DELIVERY TICKET SEATTLE,WA 98108 • (206)768-1000 510 Monster Rd.Renton,WA 98055 LAKE FRANCIS (Plant#23)-(206)658-0872 ACCOUNTING (206)768-1000 22501 SE Lake Francis Rd.Maple Valley.WA 98038 FAX A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC. Cedar Mountain Reclamation (206)763 2730 17877 Cedar Grove Rd.SE,Maple Valley,WA 98038 SALES& Plant#20-(206)658-0913 ORDER DESK (206)768-1000 MAP LOCATE I LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. ORDER NO. PROJECT PLANT CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. JOB'ADDF M.vz-EXCAV tING NC , TH ST 1� I~ COLLECT ON DELIVERY(C.O.D.)} >? ❑CASH ❑CHECK# - ❑CHARGE SPECIAL INSTRUCTIONS CARD# EXP. ❑VISA ❑MASTERCARD ❑ DISCOVER QUANTITY U.M. P CQDECT DESCRIPTION TONS TOTAL •i 1 UNIT PRICE AMOUNT TN on "C`.,fC TOP CASE B 231 24156 TN ff:'G ,a. WA STATE SICK LEAVE H 2466 TN 70015 15 ENVIRONMENTAL SUPCHARC 24.�i6 .x,Yo er '' 6t O O' .'.T.e :sc J4 .¢.as:% sii Y a t'f 20[[�f DRIVER TRUCK NO. ORDERED BY REMIT PAYMENT TO SUB-TOTAL 9125 10th AVE.S. DISPATCHER TAX CODE TIME DUE SEATTLE,WA 98108 TERMS ON REVERSE L— SALES TAX RELEASE—CUSTOMER RELEASES AND AGREES TO LD HARMLESS KANGLEY ROCK&RECYCLING,A DIVISION OF GARY MERLINO CONSTRUCTION COMP IN FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DELIVERY OF MATERIALS AILS ON REVERSE. UUSTOMER SIGNATLIF " TOTAL r _r 'RINT NAME ,1,41 " -i-- DATE-`- , AMOUNT °V 04-2009 t'-,, CUSTOMER COPY KANGLEY Kangley Rock&Recycling Locations -.,, ROCK & RECYCLING KANGLEY PIT (Plant#21) 32500 SE Kent-Kangley Rd.,Ravensdale,WA 98051 ACCOUNTING:9125 TENTH AVENUE SOUTH BLACK RIVER (Plant#22)-(206)658-0912 DELIVERY TICKET SEATTLE,WA 98108 • (206)768-1000 510 Monster Rd_Renton,WA 98055 LAKE FRANCIS (Plant#23)-(206)658-0872 ACCOUNTING (206)768-1000 22501 SE Lake Francis Rd.Maple Valley,WA 98038 FAX (206)763-2730 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC. Cedar Mountain Reclamation SALES& 17877 Cedar Grove Rd.SE,Maple Valley;WA 98038 Plant#20-(206)658-0913 ORDER DESK (206)768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB ,LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. ORDER NO. PROJECT PLANT +' 7.f 15ritYr l 00 723379 CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. REEL?TRCKNG &EXCAVATING!NC t :'. >,, -h-n,.. JOB ADDRESS li ii 9TH ST NE&DUVALL AVE NE COLLECT ON DELIVERY(C.O.D.) RE NTON ❑CASH IIICHECK# ❑CHARGE SPECIAL INSTRUCTIONS CARD# EXP. / ❑VISA 0 MASTERCARD ❑ DISCOVER QUANTITY U.M. PRODUCT DESCRIPTION TONS TOTAL CODE 0 UNIT PRICE AMOUNT 2325 TN 11 5/Er CS T C TOP COURSE B-231 2325 y,_F.:.<.: 23.25 TN 10 WA STATE C LEAVE SE.IRCH 23.25 2325 TN 15 ENVIRONMENTAL SURCHARGE 2325 1 A.: :,.. r-Foyer 7' 7 .00 Tare ^'".'^ .0.y I DRIVER TRUCK NO. ORDERED BY REMIT PAYMENT TO ?).1 Pa,3 SUB TOTAL 9125 10th AVE.S. DISPATCHER TAX CODE TIME DUE — SEATTLE,WA 98108 1 WA 11f 1 TERMS ON REVERSE SALES TAX REL — CUSTOMER RELEASES AND SION OF GARY MERLINO CONSTRUCTION COMPANY,SITC. F©R"ANY DAMAGOLD HARMLESS E TOHIS REAL COR PERSONAL PROPERTYi CAUSED BY DELIVERY OF MATERIALS LISTED/ABOVE DETAI,S ON REVERSE. BALANCE FORWARD UUSTOMER SIGNATURE TOTAL RUNT NAME DATE AMOUNT EV 04-2009 CUSTOMER COPY • KANGLEY ,-^^ Kangley Rock&Recycling Locations `" Ns ROCK & RECYCLING KANGLEY PIT (Plant#211 32500 SE Kent-Kangley Rd.,Ravensdale.WA 98051 ACCOUNTING:9125 TENTH AVENUE SOUTH BLACK RIVER (Plant#22)-(206)658-0912 DELIVERY TICKET SEATTLE,WA 98108 • (206)768 1000 510 Monster Rd.Renton,WA 98055 LAKE FRANCIS (Plant#23)-(206)658-0872 ACCOUNTING (206)768-1000 22501 SE Lake Francis Rd.Maple Valley,WA 98038 FAX A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC. Cedar Mountain Reclamation (206}763-2730 17877 Cedar Grove Rd.SE.Maple Valley,WA 98038 SALES& Plant#20-(206)658-0913 ORDER DESK (206)768-1000 MAP LOCATE TLEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. ORDER NO. PROJECT n.., PLANT# CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. C...'.' <as'15i -: tM{S_ I JOB ADDRESS `,; - - COLLECT ON DELIVERY(C.O.D.) O CASH ❑CHECK# ❑CHARGE SPECIAL INSTRUCTIONS CARD# EXP. ❑VISA ❑MASTERCARD ❑ DISCOVER QUANTITY U.M. P CODUECT DESCRIPTION TONS TOTAL UNIT PRICE AMOUNT .,pax:i,.ii. ac...+,.� .:a 3 1 10 WA STATE SICK SAVE SUR ' 4 7, 15 ENVIRONMENTAL SURCHARGE 2:3- I , Gru5, 71 .. .00 Tni , .°'.34O,O t N>,i 47260.00 DRIVER TRUCK NO. ORDERED BY ARUCK 1REMIT PAYMENT TO 9125 10th AVE.S. SUB-TOTAL DISPATCHER TAX CODE TIME DUE SEATTLE,WA 98108 ,,ixe 19_ TERMS ON REVERSE SALES TAX RELEASE— CUSTOMER RELEASES AND AGREES TO"1ye45 HARMLESS KANGLEY ROCK&RECYCLING,A DIVISION OF GARY MERLINO CONSTRUCTION COMPANVINC/FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DELIVERY OF MATERIALS LI,,$TE'D ABO\E.DETAILS ON REVERSE. ';LISTOMER SIcNATI_IQF'',, ' 'r � r TOTAL DRINT NAME 'i r ,,, DATE - ' AMOUNT r EV 04-2009 ,- CUSTOMER COPY KANGLEY --�. Kangley Rock&Recycling Locations ROCK & RECYCLING KANGLEY PIT (Plant#21) 32500 SE Kent-Kangley Rd.,Ravensdale,WA 98051 ACCOUNTING:9125 TENTH AVENUE SOUTH BLACK RIVER (Plant#22)-;206)658-0912 DELIVERY TICKET 510 Monster Rd n,SEATTLE,WA 98108 • (206)768-1000 LAKE FRANCIS Rent(Plant#23)-(2006)658-0872 ACCOUNTING (206)768-1000 22501 SE Lake Francis Rd.Maple Valley,WA 98038 FAX (206)763-2730 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC. Cedar Mountain Reclamation SALES& 17877 Cedar Grove Rd.SE,Maple Valley,WA 98038 Plant#20-(206)658-0913 ORDER DESK (206)768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT I DATE CUSTOMER NO. ORDER NO. PROJECT PLANT# :' €S-.4'?' 7': y; 723379 . CUSTOMER NAME CUSTOMER P.O. 'JOB NO. DELIVERY TICKET NO. PLE CI TT*r_}C. G&EXCAV ITING INC 15,{` - 1 JOB ADDRESS ii 9TN ST NE&DUVA!i_AVE COLLECT ON DELIVERY(C.O.D.) RENTN (� ❑CASH ❑CHECK# ❑CHARGE SPECIAL INSTRUCTIONS CARD# EXP. 0 VISA 0 MASTERCARD 0 DISCOVER f PRODUCT TOTAL QUANTITY U.M. CODE DESCRIPTION i TONS UNIT PRICE AMOUNT 23.1 x a,., ,.-1: , i SiErCSTC TOP Cy B-2 1 '2'3 17 TN 70010 WA STATE SICK LEAVE SURCSI 23117 23 17 TN 70015 ENVIROWLIETAL SURCHARGE 2117 1 Gross 7‘170t.00 Tate .i2:A30 00 Nor r W.3.40 DRIVER TRUCK NO. ORDERED BY -- .t-�s: ,.r, REMIT PAYMENT TO 9125 10th AVE.S. SUB-TOTAL DISPATCHER TAX CODE TIME DUE SEATTLE,WA 98108 A 10 OZ TERMS ON REVERSE SALES TAX RELEASE— CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROCK&RECYCLING,A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC: FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE.DETAILS ON REVERSE. 'dI r CUSTOMER SIGNATURE 't 1+ �.--, TOTAL PRINT NAME ,r DATE -- AMOUNT EV 04-2009 CUSTOMER COPY KANGLEY -., Kangley Rock&Recycling Locations ROCK & RECYCLING KANGLEY PIT (Plant#21) 32500 SE Kent-Kangley Rd.,Ravensdale.WA 98051 I BLACK RIVER (Plant#22)-(206)658-0912 DELIVERY TICKET ACCOUNTING:9125 TENTH AVENUE SOUTH SEATTLE,WA 98108 • (206)768-1000 510 Monster Rd Renton,WA 98055 LAKE FRANCIS (Plant#23)-(206)658-0872 ACCOUNTING (206)768-1000 22501 SE Lake Francis Rd.Maple Valley,WA 98038 FAX A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC. Cedar Mountain Reclamation (206)763-2730 17877 Cedar Grove Rd.SE,Maple Valley,WA 98038 SALES& Plant#20-(206)658-0913 ( ORDER DESK (206)768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. ORDER NO, PROJECT PLANT CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. JOB ADDRESS `-'`f' AVAi1ING NC li " to= ' + '' COLLECT ON DELIVERY(C.O.D.) ❑CASH ❑CHECK# -- ❑CHARGE SPECIAL INSTRUCTIONS CARD# EXP. / ❑VISA E MASTERCARD ❑ DISCOVER QUANTITY U.M. P CODECT DESCRIPTION TONS TOTAL 1 ••1. I UNIT PRICE AMOUNT 24 58 TN 432011 _, :; ._. . 1 i4a. MCr IN 70010 WA STATE SICK LEAVE +)- i'i 224 158 24,53 IN 74415 rTVVRON'MENTA ,SURCHARGII 24'4"Y. 1 Gross all 0.00 Tare 32540.00 1 N •, 'g16i.00 DRIVER TRUCK NO. ORDERED BY REMIT PAYMENT TO 9125 10th AVE.S. SUB-TOTAL DISPATCHER TAX CODE TIME DUE SEATTLE,WA 98108 TERMS ON REVERSE 1 SALES TAX RELEASE—CUSTOMER RELEASES AND AGREES TO HOLD R LESS KANGLEY ROCK&RECYCLING,A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR, DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DELIVERY OF MATERIIA�+L�S 4 TED E.pEYA ON REVERSE. CUSTOMER SIGNATURE '1 , - r ` ,,.- TOTAL PRINT NAME ;,f-,` f DATE {t ;~" AMOUNT , EV 04-2009 CUSTOMER COPY 1U346D CD3tf cZeuk + ' Truck 1S Date Commodity a' per— Site Location Tons 0 Cost D•y} t 02/111:C22 11:n Al Wei hed Franklin Rid e Sand & Gravel P.O. Box 1266 36000 Enumclaw Franklin Rd. SE Enumclaw, WA 98022 SSD-800 • '1 VA 61 CUStolj �l • Truck l ✓S Date Commodity @__pef� Site Location Tons 22. 2.E • Cost • Thank you Da 02/11/2022 i'?l t ;2;38 PM I _ Gross: 780i3 lb r Wei hed b • `1.E20 Franklin Rid a Sand & Gravel P.O.. Box 1266 36000 Eiiumclaw.Franklin:Rd. SE Enumclaw WA 98022• sso-000 • IUSJid Cud, el'ea 14L,t)/1-9 Trucital A S5 Date i Commodity / r per Site Location I (""I' et---14 tool Tons • 2524 Cost ;ilanR vou. DAtP,1 02/11.0022 Tifde 072.3 AK Gros: 78800 lb Weighed by Franklin Ridge Sand & Gravel P.O. Box 1266 36000 Enumclaw Franklin Rd. SE- Enumclaw, WA 98022 SSD-800 ` liu3103 , V custoC� ,1 u Date ;J s "Truck u 1, c,`, f Commodity @ pe Y l Site Location (4I Tons 23 . 0 1 Cost Date C2 10/2022 T u 6i > Orf'4. � J G{ Weighed by 571CQO Franklin Ridge Sand & Gravel II, P.O. Box 1266 36000 Enumclaw Franklin Rd. SE 1 ; Enumclaw, WA 98022 - ,4 SSD-800 custc , -CGV 149 s Trucko 1 A. 55 Date Commodity'LI9r .• g per Site-Location k le/G14WI' • Tons TL lii Cost Thank vou IL8 Tirfts; 0851 AM 0,ross; 76840 lb - Weighed by , .FranklirtRidge Sand & Gravel ,! P.O. Box 1266 • 360.00:Enumclaw Franklin Rd SE • Enumolavir' , WA g$022 SSD-800 ui ' • • . • • • �lU&lbU Truck% l k S5 Date Commodity L' r`t ,��i ^ pe Site Location l/4 1 • 2i- L�- Tons Cost Thank 'i:u • I. LJ= ._t 021 F0i202 I tiro_- = 1W 19 All - , ', Weighed by 3l2tQb Franklin Ridge Sand & Gravel P.O. Box 1266 3600.0 Enumclaw Franklin Rd. SE • Enumclaw, WA 98022' s9D4800 • • custc'' Q2e e,( T'lu a t"h. 9 Truck Ca2{ 55 Date f ! Commodity 2' /r 12—t, @ per • Site Location )S 'V T � Tons y 23 ¢� Cost Thank iou I' a C, tAl 02/10/2022 Time: 12:27 PM Gros...: .:_.0 lb • , Wei hed b '__(sLa Franklin Ridge Sand & Gravel P.O. Box 1266 - 3600Q,Enumclaw Franklin Rd. SE Enumclaw; WA=98022 sso-800 " 9 • • • custor ,Il/l�'G, \1 W1 Truck� Date 4 �5 , 4i-� Commodity @ per Site Location I She. v1 Tons (_1LJ Cost Think vou • III Di t a+ 02t'1012022 #j"r 8120 }b jt • . . Weighed by ;22(4.6 Franklin Ride Sand & Gravel • j� g I' P.O. Box 1266 • 36000 Enumclaw Franklin Rd. SE •Enumclaw, WA_9.8022 I SSD-800 - i .1..UiZtil cust,_ geed 1O A\A, CAL9 • . _ • Truck IA. ' SS Date i; i-• i • Commodityl: P 1 . , Site Location I'61.1) P.(.0.1131,-) . . . Ton ' -- 5- j Cost 1 , ! . ! i Thank vou , ,' , Dte.; 02/10/2022. . Time; 02137 PM , . ! lb . . Weighed by • 33116 Franklin Ridge Sand &Gravel , P.O. Box 1266 36000 Enumclaw Franklin Rd. SE • '' Enumclaw,WA 98022 . . . . SSD-800 . , . . l• 1 - 1 . . .. . . • . • . . . . . . . . • . . . . . . . . . . . . . . . . . ' . . • • ...LUJUb4 Custor'_ %At IK-}(1/7 5 Truck (fi A. SS Date ) Commodity per r 1 _et 1. Site Location )5LP. iutz- o---5)-1 • ?'1 Tons \1 256' Cost • r , ThAnk vou -.; • .%• - • '1• 02/09.12022 Tim 03141, PM • - . Grosc,..t 80520 lb . . , - '• Franklin Ridge Sand & Gravel -P.O. Box-1266 8600 0-Enuniclaw Franklin.Rd. SE • - • ' •• - • -EriUrrfclaw,.WA 98022 SSD-800 I - . I.• ' • • • • • (1U 3�U39 cyst, V N ,CI 1-11,f0.,12; Truck`\ S5 Date . Commodity' 'ti r Per Site Location L�{ Le , �P ,.4y� Ton [ s li� ' l Cost i.F•�`Ik ' r:u DatP'4 02 09 209 r �'' TimP4 021,23 PM Ort:AsI 80040 lb • • Weighed by IL Franklin Ridge Sand & Gravel I!' P.O. Box 1266 • 1. .36000 Enumclaw Franklin Rd. SE . . Enumclaw, WA 98022- I'. SSD-800 F j • • • • IU3U14 y . Truck ��"c S s Date Commodity 7 7I'Q �'//7}@ pe� /� �K n ;. • Site Location^� j Tons L`'1 • BLS Cost '1 • ` Fa 02/09/2C22 O]2 PM u • 11 €3 r osA: 80860 lbi • Weighed by i Franklin Ridge Sand & Gravel P.O. Box 1266 36000 Enumclaw Franklin:Rd. SE • � Enumclaw, WA 98022 SSD-800 • Gusto_-. 9/eat f/1A /L Y I,y I Truck ` 1 5'5 Date Commodity l 1t 1 f pe • Site Location 1S�e Pe dvn lint/ VIA\iCa,1- Tons L?j-t5t`g Cost i + Thank you { t`. t':'' 9j j/09/,:`5..3;'2 v'rosse 78420 lb Weighed by _ 1j.7 f Franklin Ridge Sand & Gravel P.O. Box 1266 36000 Enumclaw Franklin Rd. SE . I Enumclaw, WA 98022 ssD-goo 11).?-944 • custo, _ •t-eid 17tAte,1fr7l Truck CP I 4_ SS Date Commodity 1' if/t @ • pen I I Site Location I Tons'?" L Cost , . 111nk Steit4 trE., 02/03/2022 i*D02 AM 1 ; . erc7=A: 00900 lb ° Weighed by 31 h • Franklin Ridge Sand &Gravel • P.O. Box 1266 3 6000 Enumclaw.Franklin Rd. SE Enumolaw, WA 98. 022 SS D:800 •I !'' • . • • • • 1U2914 ae,Ct 1Y/1LW, 1J) Truck 151 k S5 Date Commodity t Pe zg Site Location 14.5Lp TonslS-55 Cost Th:ink VoU D-i tP: 02/09/2092 Tire l 1005 AN Gros : 83360 lb Weighed by Leo - Franklin Ridge Sand.&Gravel 1, P.O. Box 1266 36000 Enumclaw Franklin Rd. SE Enumclaw, WA 98022 SSD-800 KANGLEY Kangley Rock&Recycling Locations ROCK & RECYCLING 32500KANGLEYKent PIT (Plant#21) 32500 SE Kent-Kangley Rd.,Ravensdale,WA 98051 ACCOUNTING:9125 TENTH AVENUE SOUTH BLACK RIVER (Plant#22)-(206)658-0912 DELIVERY TICKET 510 Monster Rd.Renton,WA 98055 ACCOUNTING 206 768-1000 SEATTLE,WA 98108 • (206)768-1000 LAKE FRANCIS (Plant#23)=(206)658-0872 N 22501 SE Lake Francis Rd.Maple Valley.WA 98038 FAX (206)763-2730 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC Cedar Mountain Reclamation SALES& 17877 Cedar Grove Rd.SE.Maple Valley,WA 98038 ORDER DESK 206 768-1000 Plant#20-(206)658-0913 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. ORDER NO. PROJECT I PLANT# CUSTOMER NAME CUSTOMCP PS JOB NO. DELIVERY TICKET NO. JOB ADDRESS COLLECT ON DELIVERY(C.O.D.) ❑CASH CHECK u— ❑CHARGE CARD# - EXP. SPECIAL INSTRUCTIONS ❑VISA 0 MASTERCARD ❑ DISCOVER QUANTITY U.M. PRODUCT DESCRIPTION TONS TOTAL UNIT PRICE AMOUNT CODE • 7 10 WA STATE SICK LEAVE SU. 416 15 ENVIRONMENTAL SURCHARGE MAf I • DRIVER TRUCK NO. ORDERED BY REMIT PAYMENT TO 9125 10th AVE.S. SUB-TOTAL DISPATCHER TAX CODE TIME DUE SEATTLE,WA 98108 TERMS ON REVERSE SALES TAX RELEASE—CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROCK&RECYCLING,A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE.DETAILS ON REVERSE. CUSTOMER SIGNATURE TOTAL AMOUNT PRINT NAME DATE REV 04-2009 CUSTOMER COPY KANGLEY Kangley Rock&Recycling Locations .., ROCK & RECYCLING KANGLEY PIT (Plant#21) 32500 SE Kent-Kangley Rd..Ravensdale,WA 98051 ACCOUNTING:9125 TENTH AVENUE SOUTH BLACK RIVER (Plant#22)-(206)658-0912 DELIVERY TICKET SEATTLE,WA 98108 • (206)768-1000 510 Monster Rd.Renton.WA 98055 LAKE FRANCIS (Plant#23)-(206)658-0672 ACCOUNTING (206)768-1000 22601 SE Lake Francis Rd.Maple Valley,WA 98038 FAX (206)763-2730 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC. Cedar Mountain Reclamation SALES& 17877 Cedar Grove Rd.SE,Maple Valley,WA 98038 Plant#20-(206)658-0913 ORDER DESK (206)768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE CUSTOMER Np. ORDER NO. PROJECT PLANT CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. !V II "Iil'K . a rl'"°s ' lt.f .i JOB ADDRESS 9T1-E ST NE&DUVALL AVE E COLLECT ON DELIVERY(C.O.D.) RENTON 0 CASH 0 CHECK# ❑CHARGE i SPECIAL INSTRUCTIONS CARD# EXP. 0 VISA ❑MASTERCARD 0 DISCOVER $ QUANTITY U.M. ' PRODUCT DESCRIPTION TOTAL CODE TONS UNIT PRICE AMOUNT 25.50 TN 43201; 5 'CS`I -TOP COURSE 31 ) 1 25.50 TN 7 10 WA STATE SICK LEAVE SUC1-1 25 tyliii 25.50 TN 7011415 ENVIROMENTAL SURCHARG '-''" DRIVER TRUCK NO. ORDERED BY REMIT PAYMENT TO 9125 10th AVE.S. SUB-TOTAL DISPATCHER TAX CODE TIME DUE SEATTLE,WA 98108 >, TERMS ON REVERSE SALES TAX RELEASE—CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROCK&RECYCLING,A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE.DETAILS ON REVERSE. CUSTOMER SIGNATURE --- TOTAL PRINT NAME DATE AMOUNT 1EV 04-2009 CUSTOMER COPY KANGLEY Kangley Rock&Recycling Locations , ROCK & RECYCLING KANGLEY PIT (Plant y21) 32500 SE Kent-Kangley Rd.,Ravensdale,WA 98051 ACCOUNTING:9125 TENTH AVENUE SOUTH BLACK RIVER (Plant#22)-(206)658-0912 DELIVERY TICKET SEATTLE,WA 98108 206 510 Monster Rd.Rentoqr�WA 98055 ( )768-1000 LAKE FRANCIS (Plantil23)-(206)658-0872 ACCOUNTING (206)768-1000 22501 SE Lake Francis Rd.Maple Valley,WA 98038 FAX (206)763-2730 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY INC. Cedar Mountain Reclamation SALES& 17877 Cedar Grove Rd.SE,Maple Valley,WA 98038 Plant#20-(206)658-0913 ORDER DESK (206)768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. ORDER NO. PROJECT PLANT# CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. 'fir•K.1- EXCAVATING INr s!t r*., JOB ADDRESS :""t ST L COLLECT ON DELIVERY(C.O.D.) t-, -< 1 El CASH CHECK# ❑CHARGE SPECIAL INSTRUCTIONS i' CARD# EXP. ! ❑VISA ❑MASTERCARD ❑ DISCOVER PRODUCT TOTAL QUANTITY U.M. CODE DESCRIPTION TONS UNIT PRICE AMOUNT 26.24 TN 62011 sr CS C TOP COURSE a 231 2624 26.24 TN 70010 WA STATE SICK LEAVE NCH 22614 2624 TN 70015 ENVIRCMtMENTAL.SL,IRCHARGI 26.24 1 DRIVER TRUCK NO. ORDERED BY REMIT PAYMENT TO 9125 10th AVE.S. SUB-TOTAL DISPATCHER TAX CODE TIME DUE SEATTLE,WA 98108 TERMS ON REVERSE SALES TAX " RELEASE—CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROCK&RECYCLING,A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE.DETAILS ON REVERSE. CIJSTi 1MFR CI( F ATl inr '{ TOTAL "° AMOUNT PRINT NAME DATE REV 0,:2009 CUSTOMER COPY KANGLEY ""'. Kangley Rock&Recycling Locations --- ROCK & RECYCLING KANGLEY PIT (Plant#21) 32500 SE Kent-Kangley Rd.,Ravensdale,WA 98051 ACCOUNTING:9125 TENTH AVENUE SOUTH BLACK RIVER (Plant d 22)-(206)658-0912 DELIVERY TICKET SEATTLE,WA 98108 • 1768 1000 510 Monster Rd.Renton,WA 98055 (206) LAKE FRANCIS (Plant#23)-(206)658-0872 ACCOUNTING (206)768-1000 22501 SE Lake Francis Rd.Maple Valley,WA 98038 FAX (206)763-2730 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC. Cedar Mountain Reclamation SALES& 17877 Cedar Grove Rd.SE,Maple Valley,WA 98038 Plant#20 (206)658-0913 ORDER DESK (206)768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. ORDER NO. PROJECT PLANT# CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. i" JOB ADDRESS I' COLLECT ON DELIVERY(C.O.D.) CASH ❑CHECK# -_- ❑CHARGE SPECIAL INSTRUCTIONS CARD# EXP. ❑VISA ❑MASTERCARD ❑ DISCOVER QUANTITY U.M. PRODUCT o DESCRIPTION TONS TOTAL CODE • UNIT PRICE AMOUNT f WA STATE K.K LEAVE SW:f' 24.fit, 24 , ; 4 ENVIRONMENTAL SURCI-IA G1 24, O I I ,. . Trf.t 37: i .U0 DRIVER TRUCK NO. ORDERED BY = REMIT PAYMENT TO 9125 10th AVE.S. SUB-TOTAL DISPATCHER TAX CODE TIME DUE SEATTLE,WA 98108 TERMS ON REVERSE SALES TAX RELEASE—CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROCK&RECYCLING,A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY:INC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE.DETAILS ON REVERSE. DUOTOMER OIONATURE TOTAL 'RINT NAME DATE AMOUNT EV 04-2009 CUSTOMER COPY KANGLEY '"`` Kangley Rock&Recycling Locations -***"' ROCK & RECYCLING KANGLEY PIT (Plant#21) 32500 SE Kent-Kangley BLACK RIVER (Plant#22)-(206)658-0912 DELIVERY TICKET Rd.,Ravensdale,WA 98051 ACCOUNTING:9125 TENTH AVENUE SOUTH n,WA 98055 SEATTLE,WA 98108 • (206)768-1000 LAKE FRANC IS 510 Monster Rd R(Plannt#23)-(206)658-0872 ACCOUNTING (206)768-1000 22501 SE Lake Francs Rd.Maple Valley,WA 98038 FAX (206)763-2730 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC. Cedar Mountain Reclamation SALES& 17877 Cedar Grove Rd.SE,Maple Valley,WA 98038 Plant#20 (206)658-0913 ORDER DESK (206)768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE 1 CUSTOMER NO. ORDER NO. PROJECT PLANT# CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. REED T RC:.1:' . . a INC JOB ADDRESS 9TH ST NE&DU ALL AVE IMF COLLECT ON DELIVERY(C.O.D.) CICASH ❑CHECK# El 1 CARD# SPECIAL INSTRUCTIONS EXP. ❑VISA ❑MASTERCARD ❑ DISCOVER PRODUCT CODE DESCRIPTION " QUANTITY U.M. TONS UNIT PRICE AMOUNT TOTAL N 62 11 - •k T ? =`} TIC 701110 WA STATE SICK LEAVE 4 ' TN 15 ENVIRONMENTAL CF t 1 74 DRIVER TRUCK NO. ORDERED BY REMIT PAYMENT TO 9125 10th AVE.S. SUB-TOTAL DISPATCHER TAX CODE TIME DUE SEATTLE,WA 98108 TERMS ON REVERSE SALES TAX RELEASE—CUSTOMER RELEASES AND AGREES TO HOLQ HARMLESS KANGLEY ROCK&RECYCLING,A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE.DETAILS ON REVERSE. CUSTOMER SIGNATURE _ .,._.. TOTAL PRINT NAME �- AMOUNT DATE �..._.....- EV 0-4-2009 CUSTOMER COPY KANGLEY Kangley Rock&Recycling Locations "'``• ROCK & RECYCLING KANGLEY (Plant 1) S Kent Rd.,SE Kent KangleyRd.,Ravensdale,WA 98051 ACCOUNTING:9 25 TENTH AVENUE SOUTH BLACK RIVER (Plant#22)-(206)658-0912 DELIVERY TICKET 510 Monster Rd.Renton,WA 98055 SEATTLE,WA 98108 • (206)768-1000 LAKE FRANCIS (Plant#23)-(206)658-0672 ACCOUNTING (206)768-1000 22501 SE Lake Francis Rd.Maple Valley,WA 98038 FAX (206)763-2730 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY.INC. Cedar Mountain Reclamation SALES& 17877 Cedar Grove Rd.SE,Maple Valley,WA 98036 DESK ORDER Plant#20-(206)658-0913 (206)768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. ORDER NO. PROJECT PLANT# CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. PEED T :CKNG &EXCAVA1IING INC: )r q-'> 1 JOB ADDRESS a ' Is &Ut 3V ',AVE NE COLLECT ON DELIVERY(C.O.D.) } EN ON )' El CASH ❑CHECK# ❑CHARGE li SPECIAL INSTRUCTIONS 3, CARD# EXP. I , 0 VISA ElMASTERCARD 0 DISCOVER I , PRODUCT - TOTAL QUANTITY U.M. CODE DESCRIPTION TONS •' UNIT PRICE AMOUNT 232 TN ham. 1 232S TN 7 10 WA STATE swx ..LEAVE SURC#-9 23.25 , 2325 TN 1001S ENVIROI ENTAL SURCHAAGI 23 . „'ins 00 ', s N? t 4!: ° `) DRIVER TRUCK NO. ORDERED BY REMIT PAYMENT TO ,4-?,,-,-. SUB-TOTAL 9125 10th AVE.S. DISPATCHER TAX CODE TIME DUE SEATTLE,WA 98108 4 P, TERMS ON REVERSE SALES TAX RELEASE—CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROCK&RECYCLING,A DIVISION DF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE.DETAILS ON REVERSE. CUSTOMER SIGNAI URE TOTAL 'RINT NAME DATE - ' AMOUNT • EV 04-2009 CUSTOMER COPY • KANGLEY ^`+, Kangley Rock&Recycling Locations ROCK & RECYCLING 32500KANGLEYKent PIT (angleyRPlant# d. 32500 SE Kent-Kangley Rd.,Ravensdale,WA 98051 AGGOUNTING:9125 TENTH AVENUE SOUTH BLACK RIVER Renton,( 22)-(206)658-0912 DELIVERY TICKET SEATTLE,WA 98108 • (206)768-1000 LA Monster RdI ( latWA98205 LAKE FRANCIS (Plant#23)-(206)658-0872 ACCOUNTING (206)768-1000 22501 SE Lake Francis Rd.Maple Valley,WA 98038 FAX (206)763-2730 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC. Cedar Mountain Reclamation SALES& 17877 Cedar Grove Rd.SE.Maple Valley,WA 98038 Plant 420-(206)658-0913 ORDER DESK (206)768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB ARRIVE PLANT DATE CUSTOMER NO. ORDER NO. PROJECT PLANT u O2e22 CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. rYCAVA.TiN17 JOB ADDRESS DUVALL AV:- � COLLECT ON DELIVERY(C.O.D.) ❑CASH ❑CHECK# ❑CHARGE SPECIAL INSTRUCTIONS CARD# EXP. / • ❑VISA ❑MASTERCARD ❑ DISCOVER QUANTITY U.M. PRODUCT l DESCRIPTION TONS TOTAL UNIT PRICE AMOUNT CODE • 231.41 tali i" Li° WA STATE S:iC LEAVE SU C:!-? 2341 '1.91 TN 5 ENVIRONMENTAL SURCRARGi . Ii r ,`. Net 47820,00 DRIVER TRUCK NO. ORDERED BY REMIT PAYMENT TO 9125 10th AVE.S. SUB-TOTAL DISPATCHER TAX CODE TIME DUE SEATTLE,WA 98108 TERMS ON REVERSE SALES TAX RELEASE—CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROCK&RECYCLING,A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE.DETAILS ON REVERSE. CUSTOMER SIGNATURE `"l - ,- - _ TOTAL 'RINT NAME 1 ,_ DATE AMOUNT EV 04-2009 CUSTOMER COPY KANGLEY Kangley Rock&Recycling Locations f--- S W V ^ , ROCK & RECYCLING KANGLEY PIT (Plant#21) 32500 SE Kent-Kangley Rd..Ravensdaie,WA 98051 ACCOUNTING:9125 TENTH AVENUE SOUTH BLACK RIVER (Plant#22)-(206)658-0912 DELIVERY TICKET SEATTLE,WA 98108 • (206) 510 Monster Rd.Renton.WA 98055 768-1000 LAKE FRANCIS (Plant#23)-(206)658-0872 ACCOUNTING (206)768-1000 22501 SE Lake Francis Rd.Maple Valley,WA 98038 FAX (206)763-2730 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC. Cedar Mountain Reclamation SALES& 17877 Cedar Grove Rd.SE,Maple Valley.WA 98038 Plant#20-(206)658-0913 ORDER DESK (206)768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB r LEAVE JOB I ARRIVE PLANT DATE CUSTOMER NO. ORDER NO. PROJECT PLANT 9 CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. JOB ADDRESS y COLLECT ON DELIVERY(C.O.D.) `: ❑CASH ❑CHECK it CHARGE SPECIAL INSTRUCTIONS CARD# EXP. VISA ❑MASTERCARD ❑ DISCOVER PRODUCT TOTAL QUANTITY U.M. CODE DESCRIPTION TONS , UNIT PRICE AMOUNT 23.80 TN 6,741"( Sir CSTC TOP CAE B-231 1 3.50 TN 0 WA ST ►i E SICK LEAVE SUM, ; 73- 2.80 IN , t,,5 ENV!'It -'i NMI SUFIC = -el; ixos:;: {;s 1: Tare .00 _00 Net DRIVER TRUCK NO. ORDERED By REMIT PAYMENT TO 9125 10th AVE.S. SUB-TOTAL )ISPATCHER TAX CODE TIME DUE SEATTLE,WA 98108 TERMS ON REVERSE SALES TAX RELEASE—CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS KANGLEY ROCK&RECYCLING,A DIVISION )F GARY MERLINO CONSTRUCTION COMPANY, INp.FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD CAUSED BY DEUVERY OF MATERIALS LISTED ABOVE.DETAILS ON REVERSE. t JUCTOMCR SIGNATURE - _ TOTAL 'RINT NAME DATE AMOUNT v 04-2009 CUSTOMER COPY KANGLEY Kangley Rock&Recycling Locations ""' 4J 4)r 5 ROCK & RECYCLING 32500KANGLEYKeni PIT (angleyRd. BLACK SE RIVER Kangley 22), (206)658-0 12 98051 DELIVERY TICKET ACCOUNTING:9125 TENTH AVENUE SOUTH (Remo f 22)-(206)658-0912 SEATTLE,WA 98108 (206)768-1000 510 Monster Rd.Renton,WA 98055 LAKE FRANCIS (Plant#23)-(206)658-0872 ACCOUNTING (206)768-1000 22501 SE Lake Francis Rd.Maple Valley,WA 98038 FAX (206)763-2730 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC. Cedar Mountain Reclamation SALES& 17877 Cedar Grove Rd.SE.Maple Valley,WA 98038 Plant 20•(206)658-0913 ORDER DESK (206)768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOB LEAVE JOB I ARRIVE PLANT+ DATE CUS-OMER NO. ORDER NO. PROJECT PLANT S CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. JOB ADDRESS COLLECT ON DELIVERY(C.O.D.) ❑CASH ❑CHECK# ❑CHARGE SPECIAL INSTRUCTIONS CARD# EXP. ❑VISA ❑MASTERCARD ❑ DISCOVER PRODUCT o DESCRIPTION TONS QUANTITY U.M. CODE TOTAL UNIT PRICE AMOUNT ft 91 I •.:' P4 70 10 WA STATE SICK LEAVE ' 23.05 `y,3 T 15 ENVIRONMENTAL SURCHARGE Z1"' i 1 j .. c .. DRIVER TRUCK NO. ORDERED BY REMIT PAYMENT TO t '' '�`. SUB-TOTAL 9125 10th AVE.S. ' DISPATCHER TAX CODE TIME DUE SEATTLE,WA 98108 TERMS ON REVERSE SALES TAX RELEASE—CUSTOMER RELEASES AND AGREES TO COLD HARMLESS KANGLEY ROCK&RECYCLING,A DIVISION JF GARY MERLINO CONSTRUCTION COMPANY, INO. FOR ANY DAMAGE TO HIS REAL OR PERSONAL PROPERTY BALANCE FORWARD ',AUSED BY DELIVERY.OF MATERIALS LISTED'ABOVE.DETAILS ON REVERSE. :USTOMFR SIGNATI IRE TOTAL 'RINT NAME DATE . I AMOUNT 1V 04-2009 CUSTOMER COPY .ANULEY �" Kangley Rock&Recycling Locations "M.- r 6,44 - s ROCK & RECYCLING KANGLEY PIT (Plant#21) 32500 SE Kent-Kangley Rd.,Pavensdale.WA 98C51 ACCOUNTING:9125 TENTH AVENUE SOUTH BLACK RIVER (Plant#22)-(206)658-0912 DELIVERY TICKET SEATTLE,WA 98108 • (206)768-1000 510 Monster Rd.Renton,WA 98055 LAKE FRANCIS (Plant#23)-(206)658-0872 ACCOUNTING (206)768-1000 22501 SE Lake Francis Rd.Maple Valley,WA 98038 FAX A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC. Cedar Mountain Reclamation (206)763-2730 17877 Cedar Grove Rd.SE,Maple Valley,WA 98038 SALES& Plant#20-(206)658-0913 ORDER DESK (206)768-1000 MAP LOCATE LEAVE PLANT ARRIVE JOR LEAVE JOB ARRIVE PLANT 1 DATE CUSTOMERp NO. ORDER NO. PROJECT (PAW `,7`.� 1� +F,a PLANT# CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY7TICKET NO. REED TP.r1r_Ns-3 ).- S=1. 4.r;a t .t- -''0' i- JOB ADDRESS 9TN ST SE&C UVJ L AVEI COLLECT ON DELIVERY(C.O.D.) RENTON ❑CASH ❑CHECK# ❑CHARGE CARD SPECIAL INSTRUCTIONS EXR / 0 VISA 0 MASTERCARD 0 DISCOVER QUANTITY U.M. PRODUCT DESCRIPTION TOTAL CO]E TONS UNIT PRICE AMOUNT 1927 TN 4 _1 5Jr"C,STc TOP COURSE B►-231 ,w. ,,, 1927 TN tI WA STATE SICKLEAVE S&1 CH 1� , 1927 TN 5 EIIIVIRDMENTAL,SURCHARGf 19.k. i' I WiVER TRUCK NO. ORDERED BY REMIT PAYMENT TO 9125 10th AVE.S. SUB-TOTAL tISPATCHER i-AX CODE TIME DUE SEATTLE,WA 98108 TERMS ON REVERSE SALES TAX IF GARIELEASE—CUSTOMER RELEASES AND AGREES TO ON Y MERLINO CONSTRUCTION COMPANY, INC. FORD ANY DAMAGE TO HIS REAL HARMLESS KANGLEY KOR PERSONAL PROPERTYI:AUSED BY DELIVERY OF MATERIALS LISTED ABOV,E::�D ILS ON REVERSE. BALANCE FORWARD t7 --.., :USTOMER SIGNATURE `' 'ti. '„y_ 4 „,,,,.,--'1,,,,, TOTAL RINT NAME DATE AMOUNT V 04-2009 .,._ CUSTOMER COPY