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~- s_,~ .> ~~~^ /~ ~~ ~ f (/ INVOICE p 12954 ~~ 81 ~-E1U2OSH CQNCRETE COMPANY 3440 W. O wy. 30 • Grand lsiand, NE • Pitone308-384-2W3 / t,~~{/ RDLD 1 {{ ~~~~~~ r 1 ~~- MIIEACaE e MAIiJN4 NO •DORESS ~} /~ _-_ M t- TO tT'-/ L/y L 1! 7 L i L- ~~ L. L~ .` D F. •MJ _ _. ._ ~rruck u Driver i Quantity Description Price Amount / Cu. Yds. ~/v Sack Concrete '!o A.E.A. -}-- r ~ +~ ~, b . - --r--- -t---~..-~-~--- ~ Milea e I ~ ~ ' g - -~----------------^- -- --------t----~----------`~----r---- I - _ // Irya Calcium Chloritle_ ----- -`- i------T._...._----.,_-_ -----/- - - - - 1 -E------ ---- J~ ,,~~jy~~ ---------- I ~ ~- 1----L!.~!r~~.-4__- ~ j Winter Service __J,_~_ - II i _._.__.~y~ ~ _._.___ -_Jt!~'~~___ `- Hours Truck Hatding Charge ,t- ~`~ `' ~''' I --__' f - , ~ r ! ., y--~- --- ,~~ - ~---- ~ j `• ~ ~.- SALES TAX _ ~. -._ ~.-. -- - --- -- -- --. ~j rorAL ~ i Q ~ ' I C UTi N: AY UR OR SKIN INJURY ~ Gals. 4Vater Added -- CONTAINS POATIAN- CEMENT If ANY CEMENT OR CEMENT MIXTURES GET INTO THE EYE. fLUSN IMME-tATELY AN-! Arr. Plant -` REPEATEgLY N1TN WATER. AM-CONSULTA PNYSICtAN PROMPTLY - JOhSI e _ FRESHLY MIXE- CEMENT. MOPTAP. CONCRETE O0. GROUt MAY CAUSE SKIN INJURY. AYOIO CONTACT Wmi SKIN WHERE I Lett Piant .n ~ ~' ~ P SSISUC ANq WAlk EXPOSED SKIN AREA PROMPTLY WITH WATER S . O _.__ ttEECSISIT OF REACHOF CrfIID-pfy____._-_--. _ ..__--~.___-.____L-._-___._-~- Recelve0 above meteriei in yapC pondrtian Purchaser waives all :~a~m far pe'so rta: or propene damage caused by seliors truck when delivery .s made beyond sweet curb l~na. Received Bv: WAit+- ORIGINAL • Can+ry -CUSTOMER COPYV Gada,rod -FILE COPY • Green -DELIVERY COPY {~ (~ - INVOICE 1 ~ 9 ~ U l~ -.,~~- ~o` CONCRETE COMPANY / s440 itv'. Oia (iYry. ~ + Gt'and isi&no', Nc oaaS31 +Phone s08-.Tad-2C~i}3 r ?'~- ~v ~ DATE / ,~ _~X/ l.' SOLD ~---- ___A. - ~ MILEAGE _- - - - - _ _ T _ :~ TO.~..._ _6C~! _ ~ _ - __ ___ 9AAlL1NG _.••.f-_._. ___ __ ENO ~ .'tit -~ - r ADORERS .. ___ Z .-_.__ ^^^~~~ ^^tt I.r aa i / - DELIVER ~~~ ~ / s•-/!-~:. ~~ BEG.:' ,._t y.. ~ ___ _- _- SSL___~__..~.___ - _-- .- _-_.._ .~-'~---~ - ^uantitp Description Price Amount 1 i' `Cu- Yrts. Sack Concrete °~~ A E A ____~J~_Zr.--.---_- _-_ _ _..____ .-. _ < ~ ~ /~ - !Mileage __._.___ _..___ _..-~.__.._`.----- -- - - t g; Calcium Chigntle ' - .Winter Servece ~,~''_-~~~' Hours Truck Hgtdi C rge t ~~,~ ~'. - s _.__. _ --.. - ._ ____ .-- - _..... t ~ ~ ~ .. .. ;/ ~~ ! ~ ai~..J'~""7 s1 .. ' i. ' __.... .. - __ ....._... _ -.... - -. - SALES TAX A . ~J ~'Lr~ ':-~ _ _.___ _..- _. __. _ .. __. .,_ t_ .. _.. __ - - TOTAL ... .ry / , ~ ! ~.~C ~ ~ `G f Add d N . s. Bter e a 3.LUEtlvhs ~tlKM'T1AN6 CEatNT V fdsl ce>•4E?rt WI GE ist MtXTU11E dEr ,NTO tNE 4rt. rwsa I+.eMEt»ArEuY •N- Rt*tASFT3 +YTT1eridlrtN. +lM trN[ttAfAN/vRX'Sph PIIpMPTLV tOtta+te Arr Pian! ' - t .. 'sr li!€.Y ARKlNF ~1RIN#. 15~(1J/t. COXIAfitl 1~18RG+/t Kf+~Y C!W9i SF.rk IiktuRY AvQ,D E-NTA.^T s4tTN SIEtF v1MERE r117S!Nf .uq VrAlN 31F•-'J1tC iFtR PRSN/1RS.Y Wtrx _ R~ ; LF.tF "13,1: .. - . p _; _. ,.: W ,,, ._ ~ _ n~p.vsd wr,u+- ,a_l ,e,y~-.e;Er .c:aAn Tar0.5iN ..a..£sa .m+~. 4M O.¢:-.c,.~.. vocN~:. Ja. r,x6=-a=.>a. r, M+eA did+valp N~ma4k Jr ~t cw~4 s3n+e t' - ;... _.. ,,. ~,e., ... t6 ~~~. i .tl.rq txRrrarNawe, s.".rw-r r,rc+r3rwrrl+'+.Pv. -.--,. et~;f•r ,... .. .,, -.tr..