HomeMy WebLinkAboutKC-16-140 to KC-16-143 - Driveway curb & gutter - Field Report 03-29-16i
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DELIVERY TICKET
SAND & GRAvEC COMPANY
40U VACCEY AVE IQ E. 1'0YALL(JF'- VVA V53/'L-2516
Art: /OFF C www•MIIssSandandGravei.aum
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Iz I azz-03z1 jz53I B33-3100 (253) 536-9100 snr[10A OLYMPIA
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DATE
CU OM N
ORDER NO.
CUSTOMER PO. OR dDB 190.
PD{1v 11 NOJ-DrENvEri-T
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CY DLVRD
LOAD NO.
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Guffons ct water
PLANT TIME OUT
JOB TIME IN JOB nME OUT
PLANT TIME IN
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Added By Customers
'
Re4uest
CUSTOMER NAME
SFECIA t4MUCTIONS
r1G'v4 AF�K CONCRETE CONIRA(T U-�_
i i t A �,um1! 4"' uN S1TE
JOB ADDRESS
LOGAN AVE N & N "RD ji tr- ENTMI
OTY. UNITS
PROD. CODE
DESCRIPTION
UNIT PRICE
AMOUNT
10 0+) Yd
0442A
0442A }.
io.,00 CY
4000
'#
AIR ENTRAINMENT"��"
10 00 C_Y
5300
ENV IRM)MENTAL COMPLIANCE RI
10.00 CY
5350
WINTER PERFORMA14e..F
1 00 LD
5401
FUEL SURCHARGE - READY M I ;t
DRIVER NO.
1 ROCK RD
1870
Iti�
AX
SUB TOTAL
TS E
EE5
TAX CODE.
ii 4 %
RECt A5E - COS 101GIER REEEA5ES & AGREE5 10 HOED RHRMEEss 1 RE MIF -M.1 CO.
FOR AAT OARIAGE 10 RIs RERE OR PENSONME Pn4PER1 T CA05EO 11T OEEIVERT Or
MA1 ERIALS EIS 1 ED „90VE.
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t)WsFN ROY
GAI!Evrvs OF vvA
SIGNATURE
SALES TAX
-
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FTOTAL AMOUM 1
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N021 1870
Luau Size Mw Coda
10.00 CY 044LA
u3? r
U3 r
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ri Pr $II X15- 15 50-4 (b S;'m (b
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DELIVERY TICKET
= IVI IL Ij :5
ORDER NO.
SAND & GRAVEL COMPANY
PC{WT ICO-
4UU VACCEY AVE NE, PUYACLUR WA 98372-2516
SALES/OFFICE
www.MlfesSandanduravel.corm
(253) 833-3705
COMCRETc ORDERS SAND & GRAVEL ORDERS
(253) a2z-03zr
tza3) 833-3700 (253) 536-9100 SHELTON OLYMPIA
fax (CO3) 833-3145
(z531 922-9116 19531 R4'4 -17R7 PARA! d9R.33dd nAnl A01-7777
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COSI OILIER MAMIE
HWHNARK CONCRETE CONTRACT CLC
aPECIAI' ilea I rrOC I IOrva
5:35 Ci FiaFNv ULjRu W ON SITE 09.5
0 ON THE JOB 10:00 501111
1111
108 HOOREaa
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UNIT PRICE
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9-09
REEERsE - COa IORIEn RELEASES & AGREES TO HOLD HARMLESS THE MILES CO.
FOR AM DAMAGE 10 RIi�RCHe OR PERSONAE PROPERTY CAUSED BY DELIVERY OF
DRIVER.
LUSK TIMOTHY
MATERIALS LIS i ED yov`C. �
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SIGNATURE
X
TOTAL AMOUNT
z
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