SUPERIOR MATERIALS LLC TICKET NUMBER

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SUPERIOR
MATEB'AI-S
888-988-4400 iiii|l Nilllttiliillli
SUPER OR MATER ALS LLC i.l ,;

WARNIkG: IRRITATION TO THE SKIN ANO EYES: Conta ns Podland Cement. S/ear rubber boots and gloves PROLONGED CONTACT [lAY CAUSE BURNS. Avo]d contact with eyes and
proionge(lcontactwthskin lncaseofcontactwithsknoreyes.flushthoroughlywlhwaler.ilrrtatonperssts,geimedicalattenton.KEEPCHlLDRENAWAY. WATER ADDED AT CUSTOMER REQUEST
EXCESS]VE WATER ]S DETRII\,{ENTAL
CONCRT:TE S A PERSHABLE COMMODITY AND BECON,IES THE PROPERTY OF THE PURCHASER UPON LEAVNG THE PLANT ANY CHANGES OR CANCELLATON OF TO CONCRETE PERFORI\,,IANCE,

*
OR G NAL NSTRUCTIONS 1\4UST BE TELEPHONED TO THE OFFICE BEFORE LOAD NG STARTS,
WE D'I NOT GUARANTEE FINSHED RESULTS OBTAINED FRONI IHIS LOAD OFCONCRETEASI,,IANY I,IPORTANTFACIORSAFFECTINGTHEULTIIATEOUALITYOF
THE COMPLETED .lOB ARE OUT OF OUR CONTROL. We do nol warrant that the concrete can be used n any panculai envronment or sol conditions or that the concrete s ft for any

PLEASE NOTE] THS LOAD OF CONCRETE IS PRODUCED N ACCORDANCE WTHSTANDARD SPEC]FCATONS FOR READY N4IX CONCRETE ASTI,I ANY DEICING
x &*,q REOUESTOR'S NAI,,]E
MATER,\LS IMPROPERF]NISHINGANDLACKOFCURINGWILLCAUSEDAMAGEORADECREASEINSTRENGTH,
NOTICEI IV]Y S GNATURE BELOW INDICATES THAT HAVE READ THE HEALTH IVARNING NOTICE AND SUPPL]ER W LL NOT BE RESPONSIBLE FOR ANY DAMAGE CA.]SED fI'HEI!
L
DELVER]NG NSDE CURB L]NE AND AGREE TO THE TERI\4S AND CONDITONS ON REVERSE SIDE. TME N EXCESS OF FREE TIJE WLL BE CHARCEf, iT C!RRENT
DELAY RATE, ALL C O,D, DEL VER ES MUST BE PA D IN ADVANCE AND LOAD ACCEPTED BY S GN NG TH S DELIVERY T|CKET 3EFOi: P'U:IING
FULL IOAD % LOAD % LOAD % LOAD
PROPERTYDAMAGERELEASE: Dear Customer The size and weght of ths trlck could cause damage to theprem.se::.a.'.a_a:enipro:..l!ifihs oad s
placedwhereyoudesre.tisourv/shtohepyouineverywaythatwecanbutnordertodothswearerequestingthatyoirs!r:rsRE!:"Sir:e.nE:'.ssupplierandits
(GALLONS) (GALLONS) (GALLONS) (GALLONS)
materlal,andthatyouaisoagreetohepthedTVerremovemudfromthewheesofhisvehrcesothat twillnotlitterthepub cstreei Funng. a::rcrtcnalconsiderationtlhe
undersgnedagreestoindemnfyandhodharmlessthedrverofthstruckandthissuppierand tsaffiliatesforanyanda damagetctie.r.-!:sand/oradjacentproperty TEST RESULTS
which may be c almed by anyone to have ar sen out of delivery of th s order
Customer conf rms agrees, and acknow edges that the Terms and Cond tions conta ned n Supp er s quotat on. and repeated an ihe rE','a_sa srde of this document solely
SLU I\4 P CONC, IEI\4P, AIR%
beha f of and othemise b nd Customer to these Terms and Conditions CYt NDERS TAKEN: ! YES tr NO

NAN4E OF TEST]NG LAB:

SIGNED: X

CUST# DELIVERY LOCATION

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 SUPERIOR MATERIALS LLC TICKET NUMBER

SERY/NG ALL OF SOUTHEASIERN AT ICHIGAN

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SUPERTOR 888-988- 4400

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MATEB'ALS
SUPERIOR MATERIALS, LLC

WARNING: IRRITATION TO THE SKIN AND EYES: Contains Poftland Cement. Wear rubber boots and gloves. PROLONGED CONTACT l\,4AY CAUSE BURNS. Avoid contact with eyes and
prolonged contact with skin. ln case ofcontact with skin or eyes, flush thoroughly wilh water. lf kritation persists, get medical attention. KEEP CHILDREN AWAY. WATER ADDED AT CUSTOMER REQUEST
EXCESSIVE WATER IS DETRIMENTAL
CONCRETE IS A PERISHABLE COMI\4ODITY AND BECOI,IES THE PROPERTY OF THE PURCHASER UPON LEAVING THE PLANT, ANY CHANGES OR CANCELLATION OF
TO CONCRETE PERFORI\,,!ANCE,
ORIGINAL INSTRUCTIONS MUST BE TELEPHONED TO THE OFFICE BEFORE LOADING STARTS-
WE DO NOT GUARANTEE FINISHED RESULTS OBTAINED FRO]II THIS LOAD OF CONCRETE AS IVANY IMPORTANT FACTORS AFFECTING THE ULTIMATE QUALITY OF
THE COIV]PLETED JOB ARE OUT OF OUR CONTROL. We do not watrant that the concrete can be used in any padicular environment or soil conditions or that the concrete is fit for any
x
PLEASE NOTE: THIS LOAD OF CONCRETE IS PRODUCED IN ACCORDANCE WITH STANDARD SPECIFICATIONS FOR READY I\4IX CONCRETE ASTM. ANY DE.ICING REOUESTOR'S NAME
MATERIALS, IMPROPER FINISHING AND LACK OF CURING WILL CAUSE DAMAGE OR A DECREASE IN STRENGTH,
NOTICE: i,4Y SIGNATURE BELOW ]NDICATES THAT I HAVE READ THE HEALTH WARNING NOTICE AND SUPPLIER WILL NOT BE RESPONSIBLE FOR ANY DAMAGE CAUSED WHEN
DELIVERING INSIDE CURB LINE AND AGREE TO THE TERI\IS AND CONDITIONS ON REVERSE SIDE. Tll\,4E lN EXCESS OF FREE Tlt\,1E WILL BE CHARGED AT CURRENT SA
DELAYRATE,ALL C.O.D, DEL]VERIES I\,4UST BE PAID INADVANCEAND LOADACCEPTED BYSIGNINGTHISDELIVERYTICKETBEFOREPOUR'NG,
FULL LOAD %LOAD %LOAD %IOAD
PROPERTY DAMAGE RELEASE : Dear Customer - The size and weight of this truck could cause damage to the premises and/or adjacent property ifthis load is
placed where you desire. lt is our wish to help you in every way that we can, but in order to do this we are requesting that you sign this RELEASE relieving this supplier and its

undersigned agrees to indemnify and hold harmless the driver of this lruck and this supplier and its affiliates for any and all damage to lhe premises and/or adjacent property RESULTS
which may be claimed by anyone to have arisen out of delivery of this order.
Customer conflrms, agrees, and acknowledges that the Terms and Conditions contained in Supplier's quotation, and repeated on the reverse side of this document, solely
governs the parties'transaction. Customer's representative hereby acknowledges that he/she has read these governing Terms and Conditions, and has authority to confirm on SLUMP TEI\,4P,

behalf of and otheMise bind Customer to these Terms and Conditions. CYLINDERSTAKEN: EYES trNO
NA[,4E OF TESTING LAB:
SIGNED: X

CUST#
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 SUPERIOR MATERIALS LLC TICKET NUMBER
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SERY/NG ALL OF SOUIHEASIER/V AIICHIGAN

SUPERIOR
MATER'ALS
888-988-4400 tiitft ffiiff[illillil
SUPERIOR [4ATERIALS LLC

WARNINGT IRRITATION TO THE SKIN AND EYES: Contains Podand Cement Wear rubber boots and goves. PROLONGED CONTACT I\IAY CAUSE BURNS. Avoid contaci wth eyes ard
proongedcontactwithskn.ncaseofcontactwthsknoreyesfiushthoroughlywithv/aterlftrtaUonpersists,getmedicalattenlionKEEPCHILDRENAWAY. WATER ADDED AT CUSTOMER REQUEST
EXCESSIVE WATER S DETRII\,,1ENTAL
CONCRETE IS A PERISHABLE COMMODTY AND BECOIV]ES THE PROPERTY OF THE PURCHASER UPON LEAVING THE PLANT, ANY CHANGES OR CANCELLAT]ON OF
TO CONCRETE PERFORIVIANCE,
ORIGINAL NSTRUCT ONS [4UST BE TELEPHONED TO THE OFF CE BEFORE LOAD]NG STARTS.
WE DO NOT TH]S LOAD OFCONCRETEAS[4ANY fu]PORTANTFACTORSAFFECTNGTHEULT][4ATEOUALTYOF
GUARANTEE FINISHED RESULTS OBTAINED FRON4
THECON'IPLETEDJOBAREOUTOFOURCONTROL Wedonotwatrantihattheconcretecanbeusedinanypaf,iculaienvronmentorsolconditonsorthattheconcreteisfitforany
x
PLEASE NOTE: THIS LOAD OF CONCRETE lS PRODUCED N ACCORDANCE WTHSTANDARD SPECIFCATIONS FOR READY I\llX CONCRETE ASTM ANY DE CNG REOI]ESIOR'S NAN4E
MATER ALS, I[4PROPER FINISHING AND LACK OF CURING WILL CAUSE DAI\4AGE OR A DECREASE IN STRENGTH.
NOTICE:[4YSGNATUREBELOWINDCATESTHAT HAVEREADTHEHEALTHWARNINGNOTICEANDSUPPLIERWILLNOTBERESPONSIBLEFORANYDAI\,,IAGECAUSEDWHEN
DELVERING NSIDE CURB LINE AND AGREE TO THE TER'\4S AND CONDITIONS ON REVERSE SIDE, TII,IE N EXCESS OF FREE TII."1E \ryILL BE CHARGED AT CURRENT SA
DELAY RATE ALL C.O,D, DELIVERIES N4UST BE PAID IN ADVANCE AND LOAD ACCEPTED BY SIGNING THIS DELIVERY T CKET BEFORE POUR NG
FULL LOAD % LOAD %LOAD % LOAD
PROPERTYDAMAGERELEASE: Dear Customer - The size and weight of ths truck coud cause damage to thepremsesand/o.acllacentproperty lths oadis
placed where yo! des re t is our w sh to heip you in every way lhat we can blt n order to do this we are requesting that you s gn th s RELEASE rel ev ng th s supp er and ts
(GALLONS) (GALLONS) (GALLONS) (GALLONS)

TEST RESULTS
which may be c almed by anyone to have ar sen out ol delivery of th s order.
Customer conf rms agrees and acknou/Ledges that the Terms and Cond tions contained in Supplieis qlotation, and repeated on the reverse side of th s docunrenl. sole y
SLUI\4P CONC, TE[IP A]R%
beha f of and otherwlse bind Customer to these T-^rms and Condit ons CYLINDERS TAKEN: E YES - NO

NANIE OF TESTING LAB:

SIGNED: X

CUST# DEL VERY LOCAT ON

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 SUPERIOR MATERIALS LLG TICKET NUMBER

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SERY//VG ALL OF SOUIHEASIERN IV|ICHIGAN

SUPERTOR 888-988- 4400 lfiffiiillliill iilli I

MATEB'ALS S:r f,tl ,;,
SUPER OR NIATER]ALS LLC

WARNING: IRRITATION TO THE SKIN AND EYES: Conta ns Podland Cement Wear rubber boois and gloves PROLONGED CONTACT t l:Y CAUSE BURNS. Avo d contact v/ith eyes an.
proongedcontactwthskin lncaseofcontactwithskinoreyes,fushthoroughlywithwater.lfidtationperssts,getmedica atiention KEEPCHLai=f!AWAY WATER ADDED AT CUSTOMER REQUEST
EXCESS \,: i/VATER S DETR]N4ENTAL
CONCRETE SAPERSHABLECOMMODITYANDEECOfu]ESTHEPROPERTYOFTHEPURCHASERUP:i]IEAVNGTHEPLA\-.\YCHANGESORCA\CELLATONCF
OR G NAL INSTRUCTIONS [4UST BE TELEPHONED TO THE OFF CE BEFORE LOADING STARTS,
TO CO\ :qETE PERFORIV]ANCE
WE DO NOT GUARANTEE FINSHED RESULTS OBTA]NED FROIII THS LOAD OFCONCRE-=iSI,1T" "-CRTANTFACTORSA:;=:TNGTHEULTIMATEQUALITYOF
THE CON4PLEIED .lOB ARE OUT OF OUR CONTROL !1ie do not warrant :.ai the concrete can be usec - .': ....-. .n! rofmenl or soil .on: i : rs or thal the concrete is ft for an!
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PLEASE NOTE] TH S LOAD OF CONCRETE lS PRODUCED lN ACCOjIDANCE WITH SIANDARD SF=: ::r-: .S :OR READY |.i... ,-'ICRETE ASTNI ANY DE-|C|NG REOUESTOR'S NAME
MATERIALS lI/PROPERFINSHINGANDLACKOFCURNG\,VILLCAUSEaI',IAGEORADECREASEINSIR;'.i-*
NOTICEiMYSIGNATUREBELOWINDCATESTHAT HAVEREADTHEHEA-rfr.YAR\NGNOTCEANDSUPP::i, --',:-3-RESPONSa-:.:aANYDAI4AGECAUSEDWHEN
DELIVER NG INS DE CURB L NE AND AGREE TO THE TERMS AND CO,.] - 3NS CN REVERSE S DE I,..; .. OF FREE - .,: LL BE CHARGED AT CURRENT
DELAYRATEALLC.OD,DELVERIES[4USTBEPAID =:\.:SS
NqDVANCEANDLO;]]:CEPTEDBYSIGNINGThSDE.,:iI-]i:!BEFORE::-:'IG
FUtL LOAD %LAAD % LOAD
PROPERTY DAMAGE RELEASE I Dear Customer :te sze and wegr: :' ihis truck could cause .:^-.-:: :: :f. p.em se::-. :'adjacent property fthis load is
pacedwhereyoudesre tsourwishtohepyouineveryr,a!thatwecan,buli:_lertodothisweareTealaa:_J:-::.a,sctliasR:-:-SEreevngthssLppierandlts
(GALLONS) Ic:--: .: (GALLONS) (GALLONS)

undersignedagreestoindemnfyandhodharmlessthedrveroiihstruckandthissup.:':.. tsaffliatesfcranyandalldamagetothepremsesandc-:::r:-:property TEST RESULTS

which may be c a med by anyone 10 have ar sen out of delivery ol th s o.der
Customerconfrms agiees andacknowledgesthattheTermsandCcndlonscontaneo _ S-a: ersquotaton andrepeatedonthereveasesideoiins:::,_: : :::. SLUMP CONC, TEI\,4P, AIR%
behalf of and otheru se bind Customer to these Tetrns afd Conditions. CYL NDERS TAKEN: 1 YES NO

NAI,4E OF TESTING LAB:

SIGNED: X

CUSTf DEL VERY LOCATION

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