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■ ► <br />AW <br />Concrete Pumping inc. <br />P.O. Box 274 La Mirada, CA 90637 cell: (562) 846-9203 <br />www.citlpump.com (Serving all of Soul hern California) <br />►►►i/wrF# 0937 <br />PEA GRAVEVROCK PUMP <br />562.846.9203 <br />sri•v:C�+C DATE <br />BILL TO ` <br />CUSTOMER' fi JOB I,PO NO <br />r i r <br />ADDRESS CITY, STATE, ZIP <br />❑ C.O.D. U OPEN G 10 DAY CREDIT <br />JOB DESCRIPTION <br />ARRIVE AT JOB .... . . . . . . . . <br />START PUMPING. <br />FINISH PUMPING . . . . . . <br />LEAVE JOB . . . . . . . . . . .. . . . . <br />OPERATOR . . . .'�T cJ- � ` <br />SETUP. . . . . . . . .. . . . . . . . . . . .� . <br />YARDS PUMPED . .. . . <br />HOUR(S) .. . . . . . . . . . . . . .. . <br />NUM. OF MOVES...........,..,......... <br />PEA GRAVEL (200FT.) EXTRA HOSE . . . . . . . . . . . . . . . . <br />ROCK (150FT.).. EXTRA HOSE . . . .. . .. . . . . . . <br />ENVIRONMENTAL FEE .. . . . . . .. . . . . . . . . . . . . . . <br />FUEL................................ <br />OTHER CHARGES . . . . . . . .. . . . . . . . . . . <br />TOTAL <br />COMMENTS 1 NOTES <br />"Customer must furnish water on the site and a place to clean out. in the event of equipment <br />failure, we assume no responsibility for concrete. standby time time, labor or any other charges. <br />'*The undersigned has read the terms and conditions on the reverse side of this invoice and agrees <br />to its contents. <br />ACCEPTED and AUTHORIZED BY: <br />Thank you for using UTIPUIUP Concrete Pumping Inc. <br />