The URL can be used to link to this page

Home My WebLink About301134 07/25/16 CITY OF CARMEL, INDIANA VENDOR: 367666 ® 3; ONE CIVIC SQUARE SAGAMORE READY MIX LLC CHECK AMOUNT: $*****3,384.63* CARMEL, INDIANA 46032 PO BOX 6457 CHECK NUMBER: 301 134 DEPT 272 CHECK DATE: 07/25/16 INDIANAPOLIS IN 46206 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4236200 507348 1,186.00 CEMENT 2201 4236200 508097 733.88 CEMENT 2201 4236200 508389 496.50 CEMENT 2201 4236200 508510 594.25 CEMENT 2201 4236200 508641 374.00 CEMENT VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995) SAGAMORE READY MIX LLC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 6457 IN SUM OF$ CITY OF CARMEL DEPT 272 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service INDIANAPOLIS, IN 46206 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $1,186.00 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Street Department Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 507348 42-362.00 $1,186.00 1 hereby certify that the attached invoice(s),or 6/29/16 507348 $1,186.00 2201 201 2201 201 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Tuesday,July 12,2016 Dave Huffman Director I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 , 20— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer SAGAMORE READY MIX, LLC REMIT TO : 9170 East 131st St - Fishers, IN 46038 PO Box 6457 - Dept #272 Phone: (317) 570-6201 - (888) 986-9293 Indianapolis, IN 46206 PAGE 1 CUSTOMER # 1351 Invoice Date 06-29-2016 Invoice Number 507348 CARMEL STREET DEPARTMENT Order Code 59 3400 W 131ST STREET Project Code CARMEL IN 46074 Purchase Order Job Number 317-752-2706 DELIVERY LOCATION PAYMENT TERMS 10603 PENNSYLVANIA DISC 10th TOTAL 20th AFTER DELIVERY MO Ticket -## -Usage--------Product - -Product- - -- - — - -- ---Quantity -------- Price--_Extended Code Description Amount ------------------------------------------------------------------------------------------------ 943694 HANDCURB C4016 4000 PSI 2026 ASH STONE AIR 8.00 cy 125.50 1, 004.00 943694 500 EXCESS UNLOADING TIME > 60 63.00 ea 2.00 126.00 943694 5015 GRACE MICROFIBER (BLUE) 8.00 ea 7.00 56.00 CONTACT MARLYS BURRIS AT (317) 570-6226 FOR ANY BILLING QUESTIONS YOU MAY DEDUCT $28.00 FROM THIS INVOICE IF PAID BY Jul-10-2016. THIS REFLECTS ANY APPLICABLE TAX ADJUSTMENT ON YOUR CUBIC YARD DISCOUNT. Total Yards Sub Total Sales Tax INVOICE TOTAL 8.00 $1,186.00 $.00 $1,186.00 9170 East 131st Street Fishers,IN 46038-3545 A ( MORE 317}(888)986-9294 570-6200 Dispatch SAU (317)570-6201 office READY M I (888)986-9293 (317)570-6271 Fax DELIVERY TICKET CAUTION: FRESHLY MIXED CONCRETE,MORTAR OR GROUT MAY CAUSE SKIN INJURY,AVOID CONTACT WITH SHIN AND WASH EXPOSED AREAS PROMPTLI NITH WATER.CONTAINS PORTLAND CEMENT,IF ANY MIXTURE OF CEMENT GET INTO EYES,RINSE IMMEDIATELY AND REPEATEDLY WITH WATER AND GET 'ROPER MEDICAL ATTENTION, SEE CEMENT BURN WARNING ON BACK OF TICKET KEEP CHILDREN AWAY FROM WET MIXES. 1. Customer is responsible for suitable roadway into and out of place of material delivery,and proper washout location. 2. When delivery is requested off public roadways,customer assumes risk and is responsible for damages to sidewalks,driveways or other property, 3. We do not assume responsibilitiy for slump,strength or quality of concrete when water or any other material is added by the purchaser or his representative,or at their request.Due to the fact that concrete is made from natural materials,color consistency from load to load cannot be guaranteed. 4. Purchaser understands that concrete not cured according to ACI 308 may only develop 50%of its design strength. 5. Testing of delivered concrete must be done by ACI Level 1 Concrete Testing Technicians. 6. Do not apply de-icing compounds to exterior concrete during first winter. 7. We do not guarantee the finished surface results obtained from this load of concrete.Too many factors not under our control can affect the ultimate results. GalonsAdded Meter Reading Slump Ticket Numb, Ticket Number 943694 I VIII 111111 VIII VIII III I I IIII VIII IIII Date 0612912016 Plant Order# Customer Number Project P.O.Number Job Name•Number 01 59 1351 1 317.752.2706 Sold To 10603 PENNSYLVANIA CARMEL STREET DEPARTMENT ON PENN N OF 106TH ON ES OF RD' 4 STOPS"" 3400 W 131ST STREET As representative of the customer, I authorize and assume responsibility for the addition of water to this concrete. Received Bv: WASHOUT SYSTEM Time Due YES NO - 9:59 AM Load No. Slump(+1-1° Air Content(+1-1.5%) Meter Reading at an Meter Reading Upon Arrival Used For Ordered By 1 3.00 6.00 HANDCURB Quantity Quanitity Quanitity Product Product Descripition Units Unit Price Amount This Load Ordered Delivered Code 8.00 yd 8.00 yd 8.00 yd C4016 4000 STONE AIR yd 8.00 ea 8.00 ea 8.00 ea 5015 GRACE MICROFIBER(BLUE) ea I I SUBTOTAL SALES TAX TICKET TOTAL Truck No. Delivered By Left Plant Time Arrive Time Start Finish Pour Left Job 0159 DRISKELL.K ORDER TOTAL �� f 6/29/16 9: 26 9170 East 131st Street Fishers,IN 46038-3545 Dispatch(317)570-6200 Dispatch SAGAMOR"t (888)986-9294 (317)570-6201 Office READY MI@' (888)986-9293 (317)570-6271 Fax DELIVERY TICKET "OAUTION: FRESHLY MIXED CONCRETE,MORTAR OR GROUT MAY CAUSE SKIN INJURY,AVOID CONTACT WITH SHIN AND WASH EXPOSED AREAS PROMPTLI NITH WATER.CONTAINS PORTLAND CEMENT,IF ANY MIXTURE OF CEMENT GET INTO EYES,RINSE IMMEDIATELY AND REPEATEDLY WITH WATER AND GET 'ROPER MEDICAL ATTENTION. SEE CEMENT BURN WARNING ON BACK OF TICKET KEEP CHILDREN AWAY FROM WET MIXES. 1. Customer is responsible for suitable roadway into and out of place of material delivery,and proper washout location. 2. When delivery is requested off public roadways,customer assumes risk and is responsible for damages to sidewalks,driveways or other property 3. We do not assume responsibilitiy for slump,strength or quality of concrete when water or any other material is added by the purchaser or his representative,or at their request.Due to the fact that concrete is made from natural materials,color consistency from load to load cannot be guaranteed. 4. Purchaser understands that concrete not cured according to ACI 308 may only develop 50%of its design strength. 5. Testing of delivered concrete must be done by ACI Level 1 Concrete Testing Technicians. 6. Do not apply de-icing compounds to exterior concrete during first winter. 7. We do not guarantee the finished surface results obtained from this load of concrete,Too many factors not under our control can affect the ultimate results. I Gallons Added Meter Reading Slump Ticket Numb, Ticket Number 943694 I VIII 111111 VIII VIII III I I I IIII IIII IIII Date I 0612912016 an Order# Customer Number Project P.O.Number Job Name•Number 01 59 1351 317-752-2706 Sold To 10603 PENNSYLVANIA CARMEL STREET DEPARTMENT ON PENN N OF 106TH ON ES OF RD—4 STOPS- 3400 W 131 ST STREET As representative of the customer, I authorize and assume responsibility for the addition of water to this concrete. Received By: wASHOUTSYSTEM Time Due YES NO 9:59 AM Load No. Slump(41" Air Content(+1-1.5%) Meter Reading at Plant Meter Reading Upon Arrival Used For Ordered By 1 3.00 6.00 HANDCURB Quantity Quanitity Quanitity Product Product Descripition Units Unit Price Amount This Load Ordered Delivered Code 8.00 yd 8.00 yd 8.00 yd C4016 4000 STONE AIR yd 8.00 ea 8.00 ea 8.00 ea 5015 GRACE MICROFIBER(BLUE) ea SUBTOTAL SALESTAX TICKET TOTAL Truck No. Delivered By Left Plant Time Arrive Time Start Finish Pour Left Job 0159 DRISKELL.K ORDERTOTAL `� 6/29/16 9: 26 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) SAGAMORE READY MIX LLC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 6457 IN SUM OF$ CITY OF CARMEL DEPT 272 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service INDIANAPOLIS, IN 46206 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $2,198.63 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Street Department Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 508097 42-362.00 $733.88 1 hereby certify that the attached invoice(s),or 7/8/16 508097 $733.88 2201 201 2201 201 508389 42-362.00 $496.50 bill(s)is(are)true and correct and that the 7/12/16 508389 $496.50 2201 201 materials or services itemized thereon for 2201 201 508510 42-362.00 $594.25 7/13/16 508510 $594.25 2201 201 which charge is made were ordered and 2201 201 508641 42-362.00 $374.00 received except 7/14/16 508641 $374.00 2201 201 2201 201 Tuesday,July 19,2016 Dave Huffman Director I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer SAGAMORE READY MIX, LLC REMIT TO: 9170 East 131st St - Fishers, IN 46038 PO Box 6457 - Dept #272 Phone: (317) 570-6201 - (888) 986-9293 Indianapolis, IN 46206 PAGE 1 CUSTOMER # 1351 Invoice Date 07-08-2016 Invoice Number. 508097 CARMEL STREET DEPARTMENT Order Code 64 3400 W 131ST STREET Project Code CARMEL IN 46074 Purchase Order Job Number DELIVERY LOCATION PAYMENT TERMS 13137 PENNEAGLE DR DISC 10th TOTAL 20th AFTER DELIVERY MO Ticket # Usage Product Product Quantity Price Extended Code Description Amount ------------------------------------------------------------------------------------------------ 945164 WALK B6016 6 BAG STONE AIR 4.25 cy 128.50 546.13 945164 400 MINIMUM LOAD CHARGE 1.00 ea 80.00 80.00 945164 500 EXCESS UNLOADING TIME > 60 39.00 ea 2.00 78.00 945164 5015 GRACE MICROFIBER (BLUE) 4.25 ea 7.00 29.75 CONTACT MARLYS BURRIS AT (317) 570-6226 FOR ANY BILLING QUESTIONS YOU MAY DEDUCT $14.88 FROM THIS INVOICE IF PAID BY Aug-10-2016. THIS REFLECTS ANY APPLICABLE TAX ADJUSTMENT ON YOUR CUBIC YARD DISCOUNT. Total Yards Sub Total Sales Tax INVOICE TOTAL 4.25 $733.88 $.00 $733.88 SAGAMORE READY MIX, LLC REMIT TO : 9170 East 131st St - Fishers, IN 46038 PO Box 6457 - Dept #272 Phone: (317) 570-6201 - (888) 986-9293 Indianapolis, IN 46206 PAGE 1 CUSTOMER # 1351 Invoice Date 07-12-2016 Invoice Number 508389 CARMEL STREET DEPARTMENT Order Code 53 3400 W 131ST STREET Project Code CARMEL IN 46074 Purchase Order Job Number 503-2319 DELIVERY LOCATION PAYMENT TERMS SHELBOURNE & 116TH ST DISC 10th TOTAL 20th AFTER DELIVERY MO Ticket #� Usage Product Product Quantity Price Extended Code Description Amount ------------------------------------------------------------------------------------------------ 945861 HANDCURB C4016 4000 PSI 20o ASH STONE AIR 3.00 cy 125.50 376.50 945861 400 MINIMUM LOAD CHARGE 1.00 ea 120.00 120.00 CONTACT MARLYS BURRIS AT (317) 570-6226 FOR ANY BILLING QUESTIONS YOU MAY DEDUCT $10.50 FROM THIS INVOICE IF PAID BY Aug-10-2016. THIS REFLECTS ANY APPLICABLE TAX ADJUSTMENT ON YOUR CUBIC YARD DISCOUNT. Total Yards Sub Total Sales Tax INVOICE TOTAL 3.00 $496.50 $.00 $496.50 SAGAMORE READY MIX, LLC REMIT TO : 9170 East 131st St - Fishers, IN 46038 PO Box 6457 - Dept #272 Phone: (317) 570-6201 - (888) 986-9293 Indianapolis, IN 46206 PAGE 1 CUSTOMER # 1351 Invoice Date 07-14-2016 Invoice Number 508641 CARMEL STREET DEPARTMENT Order Code 147 3400 W 131ST STREET Project Code CARMEL IN 46074 Purchase Order Job Number STEVE-503-2319 DELIVERY LOCATION PAYMENT TERMS 12978 PORTSMOUTH DR DISC 10th TOTAL 20th AFTER DELIVERY MO Ticket # Usage Product Product _ V Quantity Price Extended Code Description Amount ------------------------------------------------------------------------------------------------ 946453 FFIN020 INDOT NON REMOVE FLOW FILL 4.00 cy 73.50 294.00 946453 400 MINIMUM LOAD CHARGE 1.00 ea 80.00 80.00 CONTACT MARLYS BURRIS AT (317) 570-6226 FOR ANY BILLING QUESTIONS YOU MAY DEDUCT $14.00 FROM THIS INVOICE IF PAID BY Aug-10-2016. THIS REFLECTS ANY APPLICABLE TAX ADJUSTMENT ON YOUR CUBIC YARD DISCOUNT. Total Yards Sub Total Sales Tax INVOICE TOTAL 4.00 $374.00 $.00 $374.00 SAGAMORE READY MIX, LLC REMIT TO : 9170 East 131st St - Fishers, IN 46038 PO Box 6457 - Dept #272 Phone: (317) 570-6201 - (888) 986-9293 Indianapolis, IN 46206 PAGE 1 CUSTOMER # 1351 Invoice Date 07-13-2016 Invoice Number 508510 CARMEL STREET DEPARTMENT Order Code 79 3400 W 131ST STREET Project Code CARMEL IN 46074 Purchase Order Job Number JIM-417-5216 DELIVERY LOCATION PAYMENT TERMS 1340 HOLDEN COURT DISC 10th TOTAL 20th AFTER DELIVERY MO Ticket # Usage Product Product Quantity Price - Extended Code Description Amount ------------------------------------------------------------------------------------------------ 946134 DRIVEWAY B6016 6 BAG STONE AIR 3.50 cy 128.50 449.75 946134 400 MINIMUM LOAD CHARGE 1.00 ea 120.00 120.00 946134 5015 GRACE MICROFIBER (BLUE) 3 .50 ea 7.00 24.50 CONTACT MARLYS BURRIS AT (317) 570-6226 FOR ANY BILLING QUESTIONS YOU MAY DEDUCT $12.25 FROM THIS INVOICE IF PAID BY Aug-10-2016. THIS REFLECTS ANY APPLICABLE TAX ADJUSTMENT ON YOUR CUBIC YARD DISCOUNT. Total Yards Sub Total Sales Tax INVOICE TOTAL 3.50 $594.25 $.00 $594.25 9170 EAST 131sT STREET FISHERS, IN 46038-3545 (317)570-6200 DISPATCH (888)986-9294 SAGAMOR' E (317)570-6201 OFFICE (888)986-9293 (317)570-6271 FAX READY M DELIVERY TICKET CAUTION:FRESHLY MIXED CONCRETE,MORTAR OR GROUT MAY CAUSE SKIN INJURY.AVOID CONTACT WITH SKIN AND WASH EXPOSED SKIN AREAS PROMPTLY WITH WATER.CONTAINS PORTLAND CEMENT.IF ANY MIXTURE OF CEMENT GETS INTO EYES,RINSE IMMEDIATELY AND REPEATEDLY WITH WATER AND GET PROPER MEDICAL ATTENTION.SEE CEMENT BURN WARNING ON BACK OF TICKET. KEEP CHILDREN AWAY FROM WET MIXES. 1. Customer is responsible for suitable roadway into and out of place of material delivery,and proper wash out location. 2. When delivery is requested off public roadways,customer assumes risk and is responsible for damages to sidewalks,driveway or other property. 3. We do not assume responsibility for slump,strength or quality of concrete when water or any other material is added by the purchaser or his representative,or at their request. Due to the fact that concrete is made from natural materials,color consistency from load to load cannot be guaranteed. 4. Purchaser understands that concrete,not cured according to ACI 308 may only develop 50%of its designed strength. 5. Testing of delivered concrete must be done by ACI Level 1 Concrete Testing Technicians. 6. Do not apply de-icing compounds to exterior concrete during its first winter. 7. We do not guarantee the finished surface results obtained from this load of concrete.Too many factors not under our control can affect the ultimate results. Gallons Added Meter Reading Slump Ticket Number Date Ticket Number Plant Order# Customer Number Project P.O.Number Job Name—Number Sold To: Delivery Address: 101MR12 I OW Received By: WASHOUT SYSTEM Time Due USED YES NO Load No. Slump(+i-i Air Co tent Meter Reading At Plant. Meter Reading Upon Arriva Used For Ordered By Quantity Quantity Quantity Product Product Description Units Unit Price Amount This Load' Ordered Delivered Code SUB-TOTAL Truck No. Delivered By Left Plant Time Arrive Time Start Finish Pour Left Job SALES TAX TICKET TOTAL ORDER TOTAL a 9170 East 131 st Street Fishers,IN 46038-3545 (317)570-6200 Dispatch SAGAMORE , (888)986-9294 (317)570-6201 office READY M 1 (888)986-9293 (317)570-6271 Fax DELIVERY TICKET 'OAUTION: FRESHLY MIXED CONCRETE,MORTAR OR GROUT MAY CAUSE SKIN INJURY,AVOID CONTACT WITH SHIN AND WASH EXPOSED AREAS PROMPTLI NITH WATER.CONTAINS PORTLAND CEMENT,IF ANY MIXTURE OF CEMENT GET INTO EYES,RINSE IMMEDIATELY AND REPEATEDLY WITH WATER AND GET 'ROPER MEDICAL ATTENTION. SEE CEMENT BURN WARNING ON BACK OF TICKET KEEP CHILDREN AWAY FROM WET MIXES. 1. Customer is responsible for suitable roadway into and out of place of material delivery,and proper washout location. 2. When delivery is requested off public roadways,customer assumes risk and is responsible for damages to sidewalks,driveways or other property 3. We do not assume responsibilitiy for slump,strength or quality of concrete when water or any other material is added by the purchaser or his representative,or at their request.Due to the fact that concrete is made from natural materials,color consistency from load to load cannot be guaranteed. 4. Purchaser understands that concrete not cured according to ACI 308 may only develop 50%of its design strength. 5. Testing of delivered concrete must be done by ACI Level 1 Concrete Testing Technicians. 6. Do not apply de-icinq compounds to exterior concrete during first winter. 7. We do not guarantee the finished surface results obtained from this load of concrete.Too many factors not under our control can affect the ultimate results. Gallons Added Meter Reading Slump Ticket Numb Ticket Number 945661 1111111111111111111111�� Date 1217116 9 Plant Order Customer Number Project P.O.Number Job Name-Number 11 53 1351 503-2319 Sold To SHELBOURNE&116TH ST CARMEL STREET DEPARTMENT WS OF ROUNDABOUT 3400 W 131ST STREET As repr68entative of •mer, I authorize and assume responsibilityfor addition of • this concrete. Received By: I WASHOUT SYSTEM I Time Due YES NO 9:45 AM Load No. Slump(41` Air Content(+/-1.5%) Meter Reading at Plant Meter Reading Upon Arrival Used For Ordered By 1 3.00 HANDCURB Quantity Quanitity Quanitity Product Product Descripition Units Unit Price Amount This Load Ordered Delivered Code 3.00 yd 3.00 yd 3.00 yd C4016 4000 STONE AIR yd I SUB-TOTAL f SALESTAX TICKET TOTAL Truck No. Delivered By Left Plant Time Arrive Time Start Finish Pour Lek Job 0293 TERRANCE R HUTCH ORDERTOTAL 7/12/16 9: 45 9170 East 131st Street Fishers,IN 46038-3545 (317)570-6200 Dispatch (888)986-9294 SAUAMORE (317)570-6201 Office READY MI (888)986-9293 (317)570-6271 Fax DELIVERY TICKET "AUTION: FRESHLY MIXED CONCRETE,MORTAR OR GROUT MAY CAUSE SKIN INJURY,AVOID CONTACT WITH SHIN AND WASH EXPOSED AREAS PROMPTLI NITH WATER.CONTAINS PORTLAND CEMENT,IF ANY MIXTURE OF CEMENT GET INTO EYES,RINSE IMMEDIATELY AND REPEATEDLY WITH WATER AND GET 'ROPER MEDICAL ATTENTION, SEE CEMENT BURN WARNING ON BACK OF TICKET KEEP CHILDREN AWAY FROM WET MIXES. 1. Customer is responsible for suitable roadwav into and out of place of material delivery,and proper washout location. 2. When delivery is requested off public roadways,customer assumes risk and is responsible for damages to sidewalks,driveways or other property 3. We do not assume responsibilitiy for slump,strength or quality of concrete when water or any other material is added by the purchaser or his representative,or at their request,Due to the fact that concrete is made from natural materials,color consistency from load to load cannot be guaranteed, 4. Purchaser understands that concrete not cured according to ACI 308 may only develop 50%of its design strength. 5. Testing of delivered concrete must be done by ACI Level 1 Concrete Testing Technicians. 6. Do not apply de-icinq compounds to exterior concrete during first winter. 7. We do not guarantee the finished surface results obtained from this load of concrete,Too many factors not under our control can affect the ultimate results. - – - --- - ---- – --- -- —- ---- – Gallons Added Meter Reading Slump -- TIcket-Numb—— Ticket Number 946453 I VIII IIIIII VIII VIII III I I I IIII IIII Date 07114116 Plant Order# Customer Number Project P.O.Number Job Name-Number 01 147 1351 1 1 1 STEVE-503.2319 Sold To 12978 PORTSMOUTH DR CARMEL STREET DEPARTMENT SPRINGMILL RD S OF MAIN ST (131ST ST)TO DORSET BLVD,TR TO PORTSMOUTH DR,TR TO JOB 3400 W 131ST STREET !AS'Fepresentative of the customer, I authorize and assume responsibility for the addition of water to this concrete. Received Bv: WASHOUT SYSTEM Time Due YES NO 2:39 PM Load No. Slump(+l-1" Air Content(+1-1.5%) Meter Reading at Plant Meter Reading Upon Arrival Used For Ordered By 1 10.00 Quantity Quanitity Quanitity Product Product Descripition Units Unit Price Amount This Load Ordered Delivered Code 4.00 CY1 4.00 CYt 4.00 CY FFIN020 INDOT NR FLOW 1 CYDS SUB-TOTAL SALES TAX TICKET TOTAL Truck No. Delivered By Left Plant Time Arrive Time Start Finish Pour Left Job 0159 DRISKELL.K ORDER TOTAL 7/14/16 14: 39 9170 EAST 131sT STREET FISHERS, IN 46038-3545 (317).570-6200 DISPATCH (888 9$6.9294 SAGAMORE i 317 570=6201 OFFICE , (888)986-9293 (317)570-.627,1,FAX. READY M DELIVERY TICKET CAUTION:FRESHLY MIXED CONCRETE,MORTAR OR GROUT MAY CAUSE SKIN INJURY.AVOID CONTACT WITH SKIN AND WASH EXPOSED SKIN AREAS PROMPTLY WITH WATER.CONTAINS PORTLAND CEMENT.IF ANY MIXTURE OF CEMENT GETS INTO EYES,RINSE IMMEDIATELY AND REPEATEDLY WITH WATER AND GET PROPER MEDICAL ATTENTION.SEE CEMENT BURN WARNING ON BACK OF TICKET. KEEP CHILDREN AWAY FROM WET MIXES. 1. Customer is responsible for suitable roadway into and out of place of material delivery,and proper wash out location. 2. When delivery is requested off public roadways,customer assumes risk and is responsible for damages to sidewalks,driveway or other property. 3. We do not assume responsibility for slump,strength or quality of concrete when water or any other material is added by the purchaser or his representative,or at their request. Due to the fact that concrete is made from natural materials,color consistency from load to load cannot be guaranteed. 4. Purchaser understands that concrete not cured according to ACI 308 may only develop 501yo of its designed strength. 5. Testing of delivered concrete must be done by ACI Level 1 Concrete Testing Technicians. 6. Do not apply de-icing compounds to exterior concrete during its firsf,winter. 7. We do not guarantee the finished surface results obtained from this load of concrete.Too many factors not under our controll-can affect the ultimate results. Gallons Added Meter Reading Slump Ticket Number CIA Date x ( v r 't Ticket Number ifii2"1 Plant Order# Customer Number Project P.O.Number Job Name—Number c t3 i:i�1 T_ Sold To: Delivery Address: 01"i EL STREET Irk°i='IRM1,01T 13',0 COURT 3Sfl, .0 t 1131ST "'Iftls.lw{ 11uTi ',71 ti. TO RD S TO n_Ee•.)J;111i rF+ (1SE SiMECl S 0� V:::;iM I=. ill BA D'41!3 31 t0,01 jID TO HTED! C TO JCIB r all FrIMMI, Received By: WASHOUT SYSTEM Time Due USED lluc43 YES NO Load No. Slump(+i-1 Air Content(+i-1.5q,) Meter Reading At Plant Meter Reading Upon Arriva Used For Ordered By 1 4 CII&00 SFS'}Ctv 9° Quantity Quantity Quantity • Product Product Description Units Unit Price Amount This Load Ordered Delivered Code i,i?CHOFIlfi t)}LUE) d i i-0111 iii 1RGE SUB-TOTAL Truck No. Delivered By Left Plant Time Arrive Time Start Finish Pour Left Job SALES TAX i51 10452 r.i=aR R,', C. ��DI'�� TICKET TOTAL ORDER TOTAL Dfp� 47 {J lI.