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84002695
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Last modified
11/20/2008 3:34:29 PM
Creation date
11/20/2008 3:34:28 PM
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DEEDS
Inst Number
84002695
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<br />I <br /> <br />r <br /> <br /> <br />&tAil" f 11ft" <br />CONCRETE COMPANY <br /> <br />INVOICE j I I b :J <br />84-- 002695 <br /> <br /> <br />SOLO <br />TO <br /> <br />rand ISlan..d' N~. ~e. 308-384-2003 <br />- (J <br />.... ,-,,-~. ~.-p.v~-~ <br /> <br />rv.AILlNG <br />ADO"~_~~ <br />DELIVER <br />UL.. <br /> <br />#7LV.~~ <br /> <br />ITruck # <br /> <br />QuantIty <br /> <br />Description <br /> <br />Cu Yds <br /> <br />Sack Concrete <br /> <br />%A.E.A. <br /> <br />Mileage <br /> <br />'+0 CalCIUm Clllorlde <br /> <br />Wrnler Service <br /> <br />Hours TruCk Holding Char2..€ <br /> <br /> <br />- '---%;.H--- <br />.,1:2 p~ ~-- ---~ - <br /> <br />SALES TAX <br />TOTAL <br /> <br />(;NfAl~-S--;~-;;:'~EMENT l~,~~~lg~E'::'t~ACC~~~~TEJI~T~:E~~~ II~~~~JE EYE FLUSH IMMEDIATELY AND I Gals. <br />! PEATEOll WITH VIIAH:R "NO CONSULT A PHl'SIOAN PROMPH,Y <br />.,l5.Hll Mtll.EO CEMENT MORTAR CONCRETE OR GROUT MA'!' CAUSE 5Kl!ljlfl/JURY AVOIQ CONTACT WITH SKIN WHERE i <br />)SSJ8lE A.NO WASH Ell.F>OSED SKIN AREAS PROMPTl Y WITH WATER <br />_ ______~OF REACH Of CHILDREN <br /> <br />Water Added <br />Jobslte <br /> <br />DATE <br /> <br /> <br />Ert~______~_ <br /> <br />BEG. <br /> <br />,90 <br /> <br />t1~Cei"';'O atKjvt' Il1dltH,iil.n yuua ('}rld.,llun P"lll'd::'t:H wd'veS all claim tor pt!r!'onal or properly damage caused bV sellers true.. <br />.....nt!'n (kl"'yrv ,'> '''.l[j~ bevona ~treel i;urtl i1n~ <br /> <br /> <br />~z:::.L~/~f <br /> <br />I <br />j <br />j <br /> <br /> <br />."--t------r-- I <br />t-.~ -.--.~+=--=r=- <br />t------j---:- <br />. -l=-~='T-- <br />..7..~. i/ <br />8i__~_~~ <br /> <br />'An PI<<", If' 10 f- <br />lt~lt Pidlll W 9 16 <br /> <br />It>t::~I\lelll:h <br /> <br />~........ <br /> <br />White ORIGINAL. _~".ry CUSTOMER COPY. Gold.mod - filE COpy _0'''_.1. OEUVERY COPY <br /> <br />Os -050 -0:<- <br /> <br />INVOICE <br /> <br />31798 <br /> <br />CONCRETE COMPANY' <br /> <br />SOLO <br />'.2..-__ <br /> <br />MAILING <br />A.Q~ft_~_$"S <br />DELIVER <br />IQ". <br /> <br />!Truck # <br /> <br />au. ant.~ i <br />4 _~_c~__ Yds <br />Mtleage <br /> <br />~ Descroproon <br />~ S_aCk Concrete <br /> <br />0'0 A EA <br /> <br />'\, CalCium Ct\IOrld~ <br /> <br />WHlter ServICe <br /> <br />Hours Truck Hololng Chdrye <br /> <br />L~ <br />I <br />t <br /> <br />L <br /> <br />, <br />SALES T~XI <br />rOTAl ' <br /> <br />C."UT1(j"N.-MA'y CAUSE EVE OR SM:iN INJURY <br />jhr~,"i~ f>-~jf\T!,.A!I..:; {t~tkt It "~'f (VoIIOff OR C[MHrl" M'-kruFtfS fiH INTO TU[ t-H <br />f"fA,'ffX't' Will'! 10'004'[11 4-NO CU/IlS;fi,.f,l\ PH'(~l{.I"'" Pfl.,)Mf'fl ~ <br />Ht,Sl'tt.,T l\IIlltfO (flollt,,"' ....{'J~U.R fQIrf(H[H >')~ <.ROlII MAY C,l\\,I';.~ ~I'd'" :!IIJV~~ "'''OIU, <br />)$~l.lf A.trriDW/i,S,}4: ,,-.PQstO \KU" ~"fil.S I"RQMPH r WITH WA,!tl-l: <br />'"'uI'.J:!Ul Qf~.~M;_~_Q'C;tll.!!.lW'. <br />.~t3:':~;'>~.:,..~:.;:"..,:.:~,,~;~=;; /;(.." <br />~~_. <br /> <br />Gals <br /> <br />VValtll Adt!ed <br />JObS'le y <br /> <br />l-L!,!,r- 1t.'IIo11H.lI"'lhr ....~D <br /> <br />;jOlj!ACl w:1.. ~lO,!"< WhtRt <br /> <br />"'."'.'.,1."_..,,.. _,e; <br /> <br />'~"'il'Y,r()ti't <br />~ ,--,- <br /> <br />........ <br /> <br />j"- <br />t <br /> <br />i <br />t <br />i <br />
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