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<br />I <br /> <br />1,~~' Ex^,bl~'-;N' <br />_ CONCRETE COMPANY <br />~40 W 9kl Hwv 30~ra Slan;;zo, NE 1 . Phone 308-~~ <br />/ -, :-" <br />~~__L-,~ LL' <br /> <br />VIVV'-... <br /> <br />v <br /> <br />r <br /> <br /> <br />002696 <br />DATE ~ - .2d-sa~ <br />MILEAGE ' <br /> <br />END.)5-<jS,? <br /> <br />% A EA <br /> <br />~ CaiclurTl Cnlortde <br /> <br />Winter Sen.lll.e <br /> <br />Hours TruCk Holdmg ChGHife <br /> <br />SALES TAX <br /> <br />lOTAL <br />- ----~- CA.UTION' MAY CAUSE EYE OR SklN INJURV : Gals. ,er Added <br />,:'N'Jlt.IN$ f'Q.nt.....NO CfM[I'H I~ ...,.." C.HtE"'T Oil Ct:MENT Mlll.fV. 'RfS GET INTO nil: fVi.. flUS'" IIllIMEOlA.TElY ""'NO i.. l <br />,PEAJtO~"VVilH"""lH\ ANOCOfiriSUL!,'P>iyStCIAloIAAOMPfl't : ne <br />-ItSHIl Ilo(RI;O I...EMkNT "'O.5liJAA CONCRETE OR tiRO\;} MAy (Au~t Sll.l1ll IN..t\JRY ""CUD ::ONTAC1 WITH SKIN WHEIllI j <br />}S~Lf "'MO WASH EXPOSED SkiN ".U,-A,S PROMPTlY .....11H wAU,R <br />____~QfJll...A...Q:UH..CHtLDREN _ ..___"'__._..._<____. <br /> <br />'tKtfllie() B'( <br /> <br />"~t!",....a <lImyit' '"<Ill''''''' ,n 9'-"'>1, Ol1o.l1l'o.}" i',J'<.:;i'<l:iOe' ""d,,,e~ all ..:;l,llm tu' Plif'iOO'" Of properly damage CdUs8d b)' ~1I"$ truck <br />.-?:. ?-".' . """"'"." "",""" '~U'" ",,. / <br /> <br />/(/4'ZO C./., , I / /: <br />V~,k'.s:~m_ ' 4-. ~L:-_ !'"~~ _~ .jt__.-__..__ <br /> <br />. .-..--------1 <br /> <br />WtUl. OfU(,iINAi. Canet'f CuSTOMER COP"'. Gollienfod . fiLE Copy _Green, DELIVERY COPY <br /> <br /> <br />05 -0.:20-,;:(,3:.. V <br /> <br />INIIOICE 31451 <br /> <br /> <br />CONCRETE COMPANY <br /> <br />:;;_~'O{!~Yc.. Ji2:2,":'. Phone308-38HOO3 <br /> <br />MAU..ING <br />4gQ!!~U . <br />Ot...tVER <br />lQ.. <br /> <br />DATE <br /> <br />7 <br /> <br /> <br />END 5"'3 '1 ~~ <br /> <br />QUd0111." <br /> <br />MIl~agti <br /> <br />~"" CalCium Ctliu'HJtcl <br /> <br />v'VlI)ttH Sel ",ce <br /> <br />r"lOUI~ ItLi\,-;;, HulOiilg \~r'dri:ic <br /> <br />.r <br /> <br />.. t.. <br />I <br />-t.-- <br /> <br />- -i--- <br /> <br />,... <br /> <br /> <br />...+-- <br />..1 <br /> <br />.j--'.--- <br /> <br />+- <br /> <br />~ _ _ C"~tf9--' ,".V c:4uii: I:vt 0.. SlllN IN.JU"-" <br />/;I::;O..~~~,~~t~;t~~~ ~<:~~;; ;~~I~~~~.~l~:~il.I"Ui (at llot(1 t~t l~t. hu~'" ;1.H"tO~...lh. .....0 <br /> <br />~~;f ~~,'~:..\~\'.'(~~~~'::~(~;;~f;~:J:,.~~~~l'::"'..;~ri~~t -.",.t-j ,~,'vjn ",..ow, U,..IA, 1 "",n., ~~,~ 'o'(l'tlltt <br /> <br />lIUUllI.l\HI\.t!l.l:.l!Qf ~l!llJl.l\tJ).. <br /> <br />Cluh <br /> <br />I <br />..."1 ! I / v'/......- <br /> <br />, ~..~-~- <br /> <br />L <br /> <br />I <br />S'IlES r A!(l <br />1 <br /> <br />TorAl <br /> <br />~*K.~-,"'~i,"! it-, <br /> <br />~ :": ';;' :\f\ 1\ .~,~ '" f~' " ., <br />....'y-". ,: ~ 0(; <br />~T\' , <br />\"",/ <br /> <br />Wale' Adduct <br /> <br />J007~ <br /> <br />Arl Plant <br /> <br />Let! Plitnt <br /> <br />j'r ''''.'''- ,..... ''''I ,,' ,,,,.,- "." 0.-"'''\>--';'-'<1 <br /> <br />, ,j...., "'J" , ~'- , ";" : <br />