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. �i.�, : n .� r� ��. <br /> r��o�'�, � .`.�� 3� �� C��CX <br /> :`.;` -- --- <br /> Dale Plant u Plant Name • TkMot Tme <br /> .c. 1J'1l ' i ic"'' . . C."i��:.. =i:�i:3�: i.Q�' , . <br /> Project a Job p PO u Zone Map ID <br /> =1�J'�•)�l.__�r. �1�-�Vr��.�. . <br /> Cuslomer a Sold m � 7Nck a � <br /> . iU�': `.�rr.i,l� �•�i.1�J.•r'Ill��v _•Gh;�!i:�� �:�r.f;. �,^[•.: ,Ti: :i�_ ��... <br /> Delivery Address HaWerlTmtk DCuripiion <br /> �:�:��y�:�-; �-i�.i00uu F�:���•it�'tldL� r�iF�; .:ia'i�n:_�i�iii�{ Ifi��iE c1;=.:L <br /> WeighMaster <br /> G�:?.���..1 i-5.9Ci10 P�:,i�+;'u�i!:;� EI�Ei:�,7 •__,�E:kc i i, �•i��.. ::':i3 i <br /> Inslructions 'l.b :.1.d:: :�.•.J: <br /> "�r�.��: �i'�i?t� _::.�( !.!,C-:l <br /> _.r._: ):;,iu0 1'� uv 1<,.p? <br /> _. ?^, i;0 12.%Z '1,'.57 <br /> LOAD CUMUUITIVE M OF PRODUCT PROOUCT UNR AMOUNT <br /> OUANTITY OUANTT' LOADS CODE D fP .P � E . <br /> iJ.�r' iC4�I J�JOA� t� �.�it�ZP��7 . � �IL�"�Eii:�:" <br /> SUB�TOTAL TAX TICKET <br /> TOTAL <br /> TheuntlMsi netl �omiseslo � allco,is,includ�n �rasonaWe Fr,oaenlvPnrnr.�p�+(iup(�iouEs�criFnr.oEUv'.qvissooEu+U[ir,sn;[cun9irvE1 <br /> 9 P P•Y 9 ues�e�.vro� tr�ean.e�c�e.smn.roune;w�v.pcnnuciu[u�.,�tvpuvyx���euunnwu+rtaimeu+ue�anqnimwnw <br /> allornoy'sieo;,incurmtlm�olleclingany5umsawed. rwwu�n�u�enmm.poumeo+musam�sa.�.Mwzo,n,��+wn�m.meu,minn.n.n.M.�weev�e.n�o-n..�mmby <br /> � w�'^rAn w-�n mai�e un.dn n uuw i�m miy m.a,..ei n,rv��n�ap mei ra✓i*��'�nFl[�sc m4.v'9 n�m.ra u��s�uMror tvn.�ry <br /> All accounts nol aia wrt�in 3�da s ol tleliver w�ll 6ear inlerest '"`''°"��'�y�"""'�m�*,yo mm�ry am��iom.ne�w.w�a.e,.am�.me�H.a.v.q,,�o+.�w.m.tr.�.m....,m+..�c W ex am�.: <br /> P Y Y . c�nn�u�e,me�emai�.:•nnr,amtiV��enn.a�.whma,e.�,m�sarow�mee�re..�im��ee,menaesu.ei r„�e�.�, s <br /> at Iho rate ol 18'Y per annum. •���m+sm��o+.va��eo�K.+.;:r»+m.w�mme�.�.�mie m�-ret�o„m��a ro o�a em m,.�wo�d s�.,r s�e.0 a�q�ia <br /> ne pa�..e�ert'w ea�rc.c��wworcr.hn�'ev ee.�:nrrl M e"nb b ran n�hen`.n M Mwrv cl exa ueei <br /> Nol Responsiblc lor Read�ve Aggmgale or Cob�Oua!ity. No sceeo � <br /> Claim Allowed Unless Matle al Time Maierial is Dolrvered. <br /> A 540A0 Semce Charge and Loss ol tha Cash Discount will be ��a�i �%M1'��[�1`�"uC'J 7 M�ba, I:OO f� a'� �� i-f �� l I '.�. 1•7 � �J�i.1:U:�3 U���?.r��l�7Tl�,C�2 I <br /> collecled on ail ReWrneE Checks. ��'-''1%7�''f'-'T#'77=7:F�1-I.�u''-""J>l.�.U''``'^LFY3, r U.Ja�:'d lll�IJ-9G?JTL�1J_. <br /> LOAD RECEIVEO BY�. OX <br /> Standhy anHonizeo sicr�..une <br /> Time I�iIi015 T�e signalure above signilies receipt and accepinnco ol Ihe listed malerials and acknowledgemenl <br /> ot antl agreemenl to t�e terms and conEitions on Iho faca antl laverse side ol Illis IickBl. <br /> ,��,� <br /> � <br /> T/UNIVERSnL �aoe B�`TCN/OFFICE COPY <br />