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MATE LLC TICKET NU ER

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SERY/NG A LL OF SOUIHEASTERN AI I CH I G AN

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UPERIOR 888-98**3400 {ililfiilril|ttil$tffi
SUPERIOR MATERIALS, LLC

THE SKIN Coniains Portland Cement. rubber and CONTACT l\ilAY Avoid contact with eyes and
skin. case of @nlad or flush lhoroughly get attention. KEEP CHILOREN AWAY
WATERADDED AT CUSTOMER REQUEST
EXCESSIVE WATER IS DETRIMENTAL
CONCRETE IS A PERISHABLE COI\4MOO'TY AND BECOIVES THE PROPERTY OF THE PURCHASER UPON LEAVING THE PLANT. ANY CHANGES OR CANCELLATION OF TO CONCRETE PERFORMANCE.
ORIGINAL INSTRUCTIONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS,
WE DO NOT GUARANIEE FINISHED RESULTS OBTAINED FROM THIS LOAD OF CONCRETE AS UNIV IIVPONMIII TNCTORS AFFECTING THE ULTII\4ATE OUALITY OF
THE COI,4PLETEo JOB ARE OUT OF OUR CONTROL. We do not warant that lhe concrete can be used in any particular environment or soil conditions or that the condete is fit for any
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PLEASE NoTEr THIS LOAD OF CONCRETE lS PROOUCED INACCORDANCE WITHSTANDARD SPECIFICATIONS FOR READY l\,11X CONCRETE ASTI\,{. ANY DE-ICING REOUESIOR'S NAME
MATERIALS, IMPROPER FINISHING AND LACK OF CURING WLL CAUSE DAMAGE OR A DECREASE IN STRENGTH,
NOTICE: MY SIGNATUNE EELOW iI'JOICITES THAT I HAVE READ THE HEALTH WARNING NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FOR ANY DAIMAGE CAUSED WHEN
DELIVERING INSIDE CURB LINE AND AGREE TO THE TERMS AND CONDITIONS ON REVERSE SIDE, TIME IN EXCESS OF FREE TIME WILL BE CHARGED AT CURRENT SA
DELAY RATE. ALL C,O,D- DELIVERIES MUST BE PAID IN ADVANCE AND LOAD ACCEPTED BY SIGNING IHIS DELIVERY TICKET BEFORE POURING,
FULL LOAD %LOAD % LOAD
PEqEEBT{ DAtl,lAGE8E! Dear Customer - The size and weight of this truck could cause damage to the premises and/or adjacent property if this load is
pE@athtreyou-astef wEFto help yoi in every way that we can, but in ordei to do this we are requesting that you sign this RELEASE relieving this supplier and its

TEST
which may be claimed by anyone to have arisen out of delivery of this order.
Customer confirms, agrees, and acknowledges that the Terms and Conditrons contained:in Supplier's quotation, and repeated on the reverse side of this document, solely
governs the parties'transaction. Customer's representative hereby acknowledges that he/she has read these governing Terms and Conditions, and has authority to conrirm on
behalf of and otheMise bind Customer to these Terms and Conditions. CYLINDERS TAKEN ! YES ENO
OF TESTING LAB:
SIGNE6: X

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I\4ATERIALS, LLC

THE bootrs
WATER AT
,n €se REQUEST
AND UPON LEAVING ANY CHANGES OR CANCELLATION OF

WE GUARANTEE FROI\4 OF
THE any
design
OF FOR MIX ASTM, ANY oE-tctNG REQUESTOR'S NAME

DAMAGE CAUSED WHEN


CHARGEO AT CURRENT
DELIVER'ES -/,LOAO
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- The size of this could is '' it
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.:(GALLONS)
,,(GALLONS) tcALLONS)
and
supplier

Customer agrees, Terms and Conditions contained ln on the solely


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acknowledges that he/she these and and has conllrm on
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NDERSTAKEN: EYES ENO
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NlMe or rESrNc ug:
SIGNED: X
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CUST# f*E;I.,ii l.

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dffi-MATER IALS CIERTIFIED IUEETING SPECI IONS


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FINISH POUR LEAVE JOB eRRiVa"o:..preNfl usncelbooe :l SUB ToiA[
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SUPERlOR

Avoid contact with eyes and REOUEST


SKIN AND
IS DETRII\4ENTAL
prolonged
LEAVING THE PLANT. ANY OR CANCELLATION TO

LOAD OF
WE
the
Y
and/or
READY REQUESTOR'S NAME
PLEASE NOTE: THIS LoAo oF CoNCRETE lS
MATERIALS. I[/PROPER FINISHING AND LACK OF
BE ANY DAMAGE CAUSED WHEN
OF BE CHARGED AT CURRENT SA
PAID FULL LOAD % LOAD %LOAD
c.o.D.
the prehises property if this load is
Customer The slze and of this
sign this and its
ln the of this (GALLONS) (GALLONS)
due
from the AS
and to the premises and/or adjacent property
and
order.
and document, solely
authodty to conflrm on
E YES NO

NAME OF LAB:

SIGNED: X

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'-T& ,I SERY/NG ALL,OF
.ure *'
{t saa-osa- 4400
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THE Ponland Cement. rubber boots and CONTACT CAUSE BURNS, wilh eyes and
skin. ln case with skin or eyes, lf irritation get WATER ADDED AT CUSTOMER REQUEST
EXCESSIVE WATER IS OETRIMENTAL
CONCRETE IS A
PERISHABLE COMMODITY AND BECOMES THE PROPERTY OF THE PURCHASER UPO!! LEAVING THE PLANT. ANY CHANGES OR CANCELLATION OF
oRtctNAL tNsrRUCTtoNs Nlusr BE TELEPHoNED ro rHE oFFtcE BEFoRE LoAD|NG srARTs. .t TO CONCRETE PERFORMANCE,

wE Do Nor GUARANTEE,FrNrsHED REsuLTs oarntNEo ihoM rHrs LoAD oF coNCRETE As MANv lMpoRrANT,FAcroRs AFFEoING THE uLTTMATE ouALrry oF
THE COil,4PLETED JoB ATREIOUT OF otlR CONTROL. We do not warant that the concrete can be us6d ln any particuiar envtonment or soil conditions or that the concrete is fit for any
x
PLEASE NOTE: THIS LOAD OF CONCRETE iS PRODUCED IN ACCORDANCE WITH STANDARD SPECIFICATIONS FOR READY MIX CONCRETE ASTI\,,I. ANY DE.ICING REQUESTOR'S NAI\,IE
MATERIALS, IMPROPER FINISHING AND UCK OF CURING WILL CAUSE DAMAGE OR A DECREASE IN STRENGTH,
NOTICEI [4Y SIGNATURE BELOW INDICATES THAI I HAVE READ THE HEALTH WARNING NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN
DELIVERING INSIDE CURB LINE AND AGREE TO THE TERMS AND CONDITIONS ON REVERSE SIOE, TII,4E IN EXCESS oF FREE TIME W1LL BE CHARGED AT CURRENT SA
DELAY RATE. ALL C,O,D, OELIVERIES MUST BE PAID IN ADVANCE AND LOAD ACCEPTED BY SIGNING THIS DELIVERY TICKET BEFORE POURING.
'iib;..ises FULL LOAD %LOAD YZLOAD
PROPERTY DAMAGE RELEASE : Dear Customer - The size and weight of th;s truck codld cause 4"..g" ,o and/or adjacent property if ihis toad is
piaced whm youdeairefiEoLruEF'to help you rn every way that we €n, but in order to do this we are requestin! that you sign this RELEASE relieving ihis ;upptier and its
(GALLONS) (GALLONS) I (GALLONS)

undereigned ag@s toindemnity and hold harmless the driver of this truck and this supplier and its afliliates for any and all damage to the premises and/or adjacent property TEST
which may be claimed by anyone to have arisen out of delivery of this order.
document, solely
SLUMP CONC, TEMP
authority to confirm on
CYLTNbERSTAKEN: ! yES n
OF TESTING LAB:

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TOTAL WAIT TII\,1E PREVIOUS TRUCK LOAD # SLUI\,1P IV]AP PAGE TIME DUE ON JOB TAX RATE TAX
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M ,ALS
SUPERIOR MATERIALS, LLC 1:a
and REOUEST
WATER ADDED AT
get EXCESSIVE WATER IS DETRIMENTAL
TO CONCRETE PERFORMANCE.

x
REOUESTOR'S NAME

%LOAD %LOAD %LOAO

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WARNINGI TO THE boots and BURNS. Avoid contact with eyes and
get WATER ADDED AT
prolonged contact ln case of irritation
EXCESSIVE IS DETRIMENTAL
AND UPON THE PLANT, ANY CHANGES OR CANCELLATION OF TO CONCRETE PERFOR[/ANCE.

AS MANY AFFECTING THE ULTIMATE QUALIry OF


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OF IS PRODUCED IN ACCORDANCE WITH
STANOARD FOR READY MIX CONCRETE ASTM- ANY DEICING REOUESTOFLSNAME I.
LACK OF CURING WILL CAUSE OAMAGE OR A DECREASE IN
DAT/AGE CAUSED WHEN
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FULL LOAD %LOAD
if this load is

(GALLONS)
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out of delivery

and that the Terms and Conditions contained in Suppliels quotation, and repeated on the reverse side of this document, solely SLUIVP coNc.
acknowledges that he/she has read these governing Terms and Conditions, and has authority to conflrm on
bind to. and CYLINDERS TAKEN: DYES ENO
OF TESTING LAB;
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Avoid contact with eyes and


WARNINGT IRRITATION TO THE SKIN AND EYES: WATERADDED AT CUSTOII|ER REOUEST
prolonged contact with skin. ln €se of @ntact wilh skin EXCESSIVE WATER IS DETRIMENTAL
CONCRETE IS A PERISHABLE COMMODIry AND BECOMES THE PROPERTY OF THE PURCHASER LEAVING THE PLANT, ANY CHANGES OR CANCELLATION OF TO CONCRETE PERFORMANCE.
ONICIruNI IIISTRUCTIONS I\,IUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS.
FROM OF OF
do can any
and/or specification of x
PLEASE NOTE: THIS LOAD OF CONCRETE lS PRODUCED lN ACCORDANCE WITHSTANDARD FOR READY MIX CONCRETE ASTM. ANY DE.ICING REOUESTOR'S NAME
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BE SA
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Customer and repeated on the reverse side of this document, solely SLU
transaction. Terms and Coriditions, and has authority to confirm on
and CYLINDERSTAKEN: !YES trNO
NAIIE OF TESTING LAB:
SIGNED: X

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TUATERIALS CERTIFIED ME N.G-M PECI


BATCH TIME LEAVE PLANT ARRIVE JOB BEGIN POUR Fr!.wqPeR LEAVE JOB ARRMEry USAGE CODE
7 r5:t .;i,1tj".): , , t_E I ril_Ll
TOTIil WAIT TIME PREVIOUS TRUCK LOAD # PAGE TIME DUE ON JOB TAX RATE TAX
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DRUM REV.AT PLANT DRUM REV - START DRUM REV. FINISH

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SUPERIOR MATERTALS, LLC

eyes and AT CUSTOMER REQUEST


TO THE
EXCESSIVE WATER IS DETRI|llENTAL
TO CONCRETE PERFORMANCE.

REOUESTOR'S NAME

SA
FULL LOAD %LOAO LOAO
pROpERTyDAMAGERELEASE: Dear Customer-The size and weight ofthis truck coutd cause damage.to theoremisesand/oradjacentpropertyifthisloadis

TEST

which rn'ay be claimed by anyone to have arisen out of delivery of this order'
on the reverse side of this document, solely
customer confirms, aqrees, and acknowledges that the Terms and Conditions contained in Supplier's quotation, and repeated TEMP

behalf oI-and otheiwise bind Customer to these Terms and Conditions.


CYLINDERSTAKEN: [] YES nNo
NAN4E OF TESTING LAB:
SIGNED: X

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MATERIALS CERTIFIED IVIEETI MDOT'S SPECIFICATIONS .}pLANr


BATCH TIME LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRTvE Ar udece coQg_,2
I
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TOTAL WAIT TIME PREVIOUS TRUCK LOAD # SLUI\,4P
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TAX RATE TAX


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DATE ORDER # PLANT TRUCK.# : PROFESSIONAL ORDER GRAND TOTAL TOTAL


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