IN THE DISTRICT COURT IN AND FOR DELAWARE COUNTY
STATE OF OKLAHOMA
MIDWEST BLOCK BRICK
PLAINTIFFS,
vs.
R & D LAWCARE & LANDSCAPING LLC
DEFENDANT.
PETITION
Comes now the Plaintiff, MIDWEST BLOCK BRICK ("Plaintiff"), and for its cause of action against the Defendant, R & D LAWCARE & LANDSCAPING LLC ("Defendant"), alleges and states as follows:
1. That the Defendant, R & D LAWCARE & LANDSCAPING LLC is a Limited Liability Company listed as Active with the Oklahoma Secretary of State and does business in Delaware County, Oklahoma.
2. That the underlying obligations owed by the Defendant to the Plaintiff result from unpaid invoices for the goods provided by Plaintiff to the Defendant.
3. That the Defendant is indebted to Plaintiff for the sum of $59,694.61.
4. MIDWEST BLOCK BRICK is the lawful owner of the balance due and owing on the account and the Defendant has failed, refused, and neglected to pay the same after due and proper demand thereof. Attached hereto as Exhibit "A" are the Invoices totaling the balance of $61,211.27 due and owing; subsequently, there was a credit applied to Invoice No. 28703434, reducing the total balance due and owing to $59,694.61.
5. Plaintiff has complied with all the terms, conditions, and provisions of this account and is duly empowered to bring this action.
6. Plaintiff is entitled as a matter of law to a judgment in its favor and against the Defendant for the total amount due such being $59,694.61; post-judgment interest and reasonable attorney fees as allowed by Oklahoma law, and court cost.
WHEREFORE, PREMISES CONSIDERED, Plaintiffs, MIDWEST BLOCK BRICK, prays for judgment against the Defendant, R & D LAWCARE & LANDSCAPING LLC in the
sum of $59,694.61, along with post judgment interest and reasonable attorney fees as allowed by Oklahoma law, together with the costs of this action, and all other relief to which the Plaintiff may be entitled.
MIDWEST BLOCK BRICK,
PLAINTIFF.
BURTON E. STACY, JR., OBA#16895
CHARLOTTE M. STACY, OBA #17348
ATTORNEYS FOR PLAINTIFF
SL LAW GROUP P.A. f/k/a
HOOD & STACY, P.A.
P.O. Box 271
Bentonville, Arkansas 72712
Phone: (479) 273-3377 Fax: (479) 273-3419
Email:
[email protected]
EXHIBIT "A"
INVOICE
Page No. 1 of 2
REMIT TO: BEST BLOCK, LLC
P.O. BOX 930134
ATLANTA, GA 31193-0134
BY EFFECT:
ABA: 121000248 (Wells Fargo)
ACCOUNT: 2052700385107
SWIFT:WFBIUS6S CHIPS 0407
REMIT INFO:
[email protected]
BILL TO: 600735 R & D LAWN CARE & LANDSCAPING
25100 N 59 HWY
GROVE OK 74344
SHIP TO: 600735 R & D LAWN CARE & LANDSCAPING
59131 E 301 RD
GROVE OK 74344
CUSTOMER P.O.NUMBER ORDER DATE REF NO. DATE DUE
59131 E 301 Rd 02/28/24 24148396 SO 03/30/24
INVOICE SHIP DATE SHIP VIA TERMS TAX ID
02/29/24 . Net 30
| QUANTITY | ITEM NO. | DESCRIPTION | PRICE | U/M | AMOUNT |
| 360 | MBR1410012 | 8 BRUT SF STR SNDSTNBL | 7.36 | EA | 2,649.60 |
| 180 | MBR0106012 | STR CAP SNDSTNBL | 8.04 | EA | 1,447.20 |
| 13 | PALOUT | PALLETS OUT | 25.00 | EA | 325.00 |
| 1 | 691900 | FREIGHT/DELIVERY | 450.00 | EA | 450.00 |
THIS MATERIAL SHIPPED FROM PLANT NUMBER: 2190 MIDWEST BLOCK JOPLIN MO 1921 E 15TH STREET JOPLIN MO 64804 Tel: (417)623-6800 Fax: (000)000-0000
SUB-TOTAL ► 4,871.80
TAX ► 391.33
INVOICE TOTAL ► 5,263.13
CAUTION! Sawing or grinding concrete masonry units may result in release of dust particles which may: Acute: Cause minor Irritation of eye or nose. Chronic: Result in lung disease (silicosis) if exposed to excessive amounts for prolonged periods. The use of NIOSH approved respirator and tight fitting goggles is recommended when sawing or grinding operations are in progress.
A 20% CHARGE WILL BE MADE FOR MERCHANDISE RETURNED, PAST DUE ACCOUNTS WILL BE CHARGED INTEREST AT THE RATE OF 1 1/2% PER MONTH OR 18% ANNUM.
USD DOLLARS PLEASE PAY FROM THIS INVOICE
MIDWEST BLOCK & BRICK
A QUIKRETE* COMPANY
1021 E 15TH STREET
JOPLIN MO 64804
(417)623-5800
Fax (000)0000-0000
SOLD TO:
600735
R & D LAWN CARE & LANDSCAPING
28100 N 59 HWY
GROVE OK 74344
SHIP TO:
600735
R & D LAWN CARE & LANDSCAPING
59131 E 301 Rd
GROVE OK 74344
DATE ORDERED: 02/28/24 DATE REQUESTED: 02/28/24 DATE PROMISED: 02/28/24 DATE SHIPPED: 2-28
PURCHASE ORDER #: 59131 E 301-Rd
UNIFORM SHIPPING: 24148396-000 SO
ORIGINAL ORDER
SHIP VIA: . TRUCK: .
ORDERED BY: DRUSSELL
ORDER ACCEPTED BY: .
DRIVER: .
MILES: .
WEIGHT: 39,103 LB
PROJECT #: .
PALLET8 UNITS
ORDERED LINE #
ITEM NUMBER ITEM DESCRIPTION
10 360 EA MBR1410012 8 BRUT SF STR SNDSTNBL
180 EA MBR0106012 STR CAP SNDSTNBL
13 EA PALOUT PALLETS OUT
1 EA 691900 FREIGHT/DLIVERY
PALLETS OUT
FREIGHT/DLIVERY
PALLET DELIVERED OUT (CHARGE)
PALLET RETURNED IN (CREDIT)
RECEIVED BY:
A 38% CHARGE WILL BE MADE FOR MERCHANDISE RETURNED. ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS BILL.
Customer's signature constitutes acknowledgement of receipt of all items listed herein, up to and including the "last page" of this document, except as noted below:
PURCHASER ASSUMES ALL RESPONSIBILITY FOR PROPERTY DAMAGE AFTER TRUCK PASSES CURB LINE.
TOTALS ►
UNITS RECEIVED: 10
UNITS SHIPPED: 10
USD PRICE AMOUNT:
TAX TOTAL: . USD DOLLARS
CAUTION!
Sawing or grinding concrete masonry units may result in release of dust particles which may: Acute: Cause minor irritation of the eyes or nose. Chronic Result in lung disease (silicosis) if exposed to excessive amounts for prolonged periods. The use of NIOSH approved respirator and light fitting goggles is recommended when sawing or grinding operations are in progress.
NO ☐ YES ☐ HOW MANY?
SIGNATURE __________________________
DATE ____________________
GREAT CARE IS EXERCISED IN THE SELECTION OF MATERIALS AND SUPPLIERS OF THE PRODUCTS WE SELL; HOWEVER, SINCE THE USE OF THESE PRODUCTS IS BEYOND OUR CONTROL, NO GUARANTEE OR WARRANTY, EXPRESSED OR IMPLIED, IS MADE AS TO SUCH USE OR EFFECTS INCIDENTAL TO SUCH USE.
PAGE NO. 1
* LAST PAGE *
INVOICE
Page No. 1 of 2
MIDWEST BLOCK & BRICK
A QUIKRETE COMPANY
REMIT TO
BEST BLOCK, LLC
P.O. BOX 930134
ATLANTA, GA 31193-0134
BY EFFECT
ABA: 121000248 (Wells Fargo)
ACCOUNT: 2052700385107
SWIFT: WFBUS6S CHIPS 0407
REMIT INFO:
[email protected]
BILL TO
600735 R & D LAWN CARE & LANDSCAPING
25100 N 59 HWY
GROVE OK 74344
SHIP TO
600735 R & D LAWN CARE & LANDSCAPING
JOPLIN MO 64804
CUSTOMER P.O.NUMBER ORDER DATE REF NO. DATE DUE
stock 02/29/24 24155116 SO 03/30/24
INVOICE SHIP DATE SHIP VIA TERMS TAX ID
02/29/24 Pickup Net 30
QUANTITY ITEM NO. DESCRIPTION PRICE U/M AMOUNT
48 MBV60500018 GSRW RAPID SET ADHESIVE 10 OZ TUBE 7.06 TB 338.88
SUB-TOTAL ► 338.88
TAX ► 29.57
INVOICE TOTAL ► 368.45
CAUTION! Sawing or grinding concrete masonry units may result in release of dust particles which may: Acute: Cause minor irritation of eye or nose. Chronic: Result in lung disease (silicosis) if exposed to excessive amounts for prolonged periods. The use of NIOSH approved respirator and tight fitting goggles is recommended when sawing or grinding operations are in progress.
A 20% CHARGE WILL BE MADE FOR MERCHANDISE RETURNED. PAST DUE ACCOUNTS WILL BE CHARGED INTEREST AT THE RATE OF 1 1/2% PER MONTH OR 18% ANNUM.
USD DOLLARS PLEASE PAY FROM THIS INVOICE
MIDWEST BLOCK & BRICK
A QUIKRETE* COMPANY
1021 E 15TH STREET
JOPLIN MO 64804
(417)623-5800
Fax (000)000-0000
SOLD TO:
R & D LAWN CARE & LANDSCAPING
25100 N 59 HWY
GROVE OK 74344
SHIP TO:
R & D LAWN CARE & LANDSCAPING
25100-N-59-HWY*
GROVE OK 74344
Joplin, MO Changed in JDE
DATE ORDERED: 02/29/24
DATE REQUESTED: 02/29/24
DATE PROMISED: 02/29/24
DATE SHIPPED:
PURCHASE ORDER #: stock
UNIFORM SHIPPING: 24155116-000 SO Pickup
ORIGINAL ORDER
SHIP VIA: TRUCK
ORDERED BY: DRUSSELL
ITEM NUMBER: MBV80500018
ITEM DESCRIPTION: GSRW RAPID SET ADHESIVE 10 OZ TUBE
PAL OUT PALLETS DELIVERED OUT (CHARGE)
PAL IN PALLET RETURNED IN (CREDIT)
RECEIVED BY:
A 35% CHARGE WILL BE MADE FOR MERCHANDISE RETURNED. ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS BILL.
Customer's signature constitutes acknowledgment of receipt of all items listed herein, up to and including the "last page" of this document, except as noted below:
PURCHASER ASSUMES ALL RESPONSIBILITY FOR PROPERTY DAMAGE AFTER TRUCK PASSES CURB LINE.
Shipping Plant: 2190
TOTALS ►
UNITS ORDERED:
UNITS SHIPPED:
USD.DOLLARS:
TAX TOTAL:
CAUTION!
Sawing or grinding concrete masonry units may result in release of dust particles which may: Asylee: Cause minor irritation of the eyes or nose. Chronic: Result in lung disease (silicosis) if exposed to excessive amounts for prolonged periods. The use of MISH approved respirator and tight fitting goggles is recommended when sawing or grinding operations are in progress.
GREAT CARE IS EXERCISED IN THE SELECTION OF MATERIALS AND SUPPLIERS OF THE PRODUCTS WE SELL. HOWEVER, SINCE THE USE OF THESE PRODUCTS IS BEYOND OUR CONTROL, NO GUARANTEE OR WARRANTY, EXPRESSED OR IMPLIED, IS MADE AS TO SUCH USE OR EFFECTS INCIDENTAL TO SUCH USE.
NO ☐ YES ☐ HOW MANY?
SIGNATURE __________________________
DATE ________________
MIDWEST BLOCK & BRICK
A QUIKRETE COMPANY
1021 E 15TH STREET
JOPLIN MO 64804
(417)623-5800
Fax (000)000-0000
SOLD TO:
600735
R & D LAWN CARE & LANDSCAPING
25100 N 59 HWY
GROVE OK 74344
SHIP TO:
600735
R & D LAWN CARE & LANDSCAPING
26400-N 59 HWY
GROVE-OK-74344
Joplin, MO
SOLD TO: 600735
R & D LAWN CARE & LANDSCAPING
25100 N 59 HWY
GROVE OK 74344
SHIP TO: 600735
R & D LAWN CARE & LANDSCAPING
26400-N 59 HWY
GROVE-OK-74344
Joplin, MO
SHIPPING INSTRUCTIONS
BOL #
24155116
ORIGINAL ORDER
DATE ORDERED | DATE REQUESTED | DATE PROMISED | DATE SHIPPED | PURCHASE ORDER # | UNIFORM SHIPPING | SHIP VIA | TRUCK
02/29/24 | 02/29/24 | 02/29/24 | stock | 24155116-000 SO | Pickup |
ORDERED BY: DRUSSELL
ORDER ACCEPTED BY:
DRIVER:
MILES:
WEIGHT:
PROJBOT #
PALLET ORDERED | UNITS | ITEM NUMBER | ITEM DESCRIPTION | UNITS RECEIVED | USD PRICE
LINE # | Ordered | MBV60500018 | GSRW RAPID SET ADHESIVE 10 OZ TUBE | |
PALOUT PALLET DELIVERED OUT (CHARGE)
PALIN PALLET RETURNED IN (CREDIT)
RECEIVED BY:
A 36% CHARGE WILL BE MADE FOR MERCANDISE RETURNED. ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS BILL.
Customer's signature constitutes acknowledgement of receipt of all items listed herein, up to and including the "last page" of this document, except as noted below:
PURCHASER ASSUMES ALL RESPONSIBILITY FOR PROPERTY DAMAGE AFTER TRUCK PASSES CURB LINE.
Shipping Plant: 2190
CAUTION!
Sawing or grinding concrete masonry units may result in release of dust particles which may: Acute: Cause minor irritation of the eye or nose. Chronic: Result in lung disease (silicosis) if exposed to excessive amounts for prolonged periods. The use of NIOSH approved respirator and light fitting goggles is recommended when sawing or grinding operations are in progress.
GREAT CARE IS EXERCISED IN THE SELECTION OF MATERIALS AND SUPPLIERS OF THE PRODUCTS WE SELL. HOWEVER, SINCE THE USE OF THESE PRODUCTS IS BEYOND OUR CONTROL, NO GUARANTEE OR WARRANTY, EXPRESSED OR IMPLIED, IS MADE AS TO SUCH USE OR EFFECTS INCIDENTAL TO SUCH USE.
NO ☐ YES ☐ HOW MANY?
SIGNATURE __________________________
DATE ________________________________
INVOICE
Page No. 1 of 2
MIDWEST BLOCK & BRICK
A QUIKRETE® COMPANY
BEST BLOCK, LLC
P.O. BOX 930134
ATLANTA, GA 31193-0134
ABA: 121000248 (Wells Fargo)
ACCOUNT: 2052700385107
SWIFT: WFBIUS6S CHIP5 04017
REMIT INFO:
[email protected]
BILL TO:
600735 R & D LAWN CARE & LANDSCAPING
25100 N 59 HWY
GROVE OK 74344
SHIP TO:
600735 R & D LAWN CARE & LANDSCAPING
25100 N 59 HWY
GROVE OK 74344
CUSTOMER P.O.NUMBER ORDER DATE REF NO. DATE DUE
Darek 03/04/24 24174769 SO 04/04/24
INVOICE SHIP DATE SHIP VIA TERMS TAX ID
03/05/24 . Net 30
<table>
<tr>
<th>QUANTITY</th>
<th>ITEM NO.</th>
<th>DESCRIPTION</th>
<th>PRICE</th>
<th>U/M</th>
<th>AMOUNT</th>
</tr>
<tr>
<td>432</td>
<td>MBR1410017</td>
<td>8 BRUT SF STR CHRCLBL</td>
<td>7.36</td>
<td>EA</td>
<td>3,179.52</td>
</tr>
<tr>
<td>240</td>
<td>MBR0106017</td>
<td>STR CAP CHRCLBL</td>
<td>8.04</td>
<td>EA</td>
<td>1,929.60</td>
</tr>
<tr>
<td>16</td>
<td>PALOUT</td>
<td>PALLETS OUT</td>
<td>25.00</td>
<td>EA</td>
<td>400.00</td>
</tr>
<tr>
<td>1</td>
<td>691900</td>
<td>FREIGHT/DELIVERY</td>
<td>400.00</td>
<td>EA</td>
<td>400.00</td>
</tr>
</table>
THIS MATERIAL SHIPPED FROM PLANT NUMBER: 2190
MIDWEST BLOCK JOPLIN MO
1021 E 18TH STREET
JOPLIN MO 64804
Tel: (417)823-5800 Fax: (000)000-0000
CAUTION!: Sawing or grinding concrete masonry units may result in release of dust particles which may: Acute: Cause minor irritation of eye or nose. Chronic: Result in lung disease (silicosis) if exposed to excessive amounts for prolonged periods. The use of NIOSH approved respirator and tight fitting goggles is recommended when sawing or grinding operations are in progress.
A 20% CHARGE WILL BE MADE FOR MERCHANDISE RETURNED. PAST DUE ACCOUNTS WILL BE CHARGED INTEREST AT THE RATE OF 1 1/2% PER MONTH OR 18% ANNUM.
<table>
<tr>
<th>SUB-TOTAL ►</th>
<td>5,909.12</td>
</tr>
<tr>
<th>TAX ►</th>
<td>487.56</td>
</tr>
<tr>
<th colspan="2">INVOICE TOTAL ►</th>
<td>6,396.68</td>
</tr>
</table>
USD DOLLARS PLEASE PAY FROM THIS INVOICE
MIDWEST BLOCK & BRICK
A QUIKRETE COMPANY
1021 E 15TH STREET
JOPLIN MO 64804
(417)623-5800
Fax (000)000-0000
SOLD TO:
600735
R & D LAWN CARE & LANDSCAPING
25100 N 59 HWY
GROVE OK 74344
SHIP TO:
600735
R & D LAWN CARE & LANDSCAPING
25100 N 59 HWY
GROVE OK 74344
DATE ORDERED: 03/04/24 DATE REQUESTED: 03/04/24 DATE PROMISED: 03/04/24 DATE SHIPPED: 3-4 PURCHASE ORDER #: Derek UNIFORM: 24174769-000 SO
ORIGINAL ORDER
SHIP VIA: TRUCK
ORDERED BY: DRUSELL
ORDER ACCEPTED BY: [signature] DRIVER: [initials]
MILES: [?] WEIGHT: 48,457 LB PROJECT #:
<table>
<tr>
<th>PALLETS</th>
<th>UNITS ORDERED</th>
<th>LINE #</th>
<th>ITEM NUMBER</th>
<th>ITEM DESCRIPTION</th>
<th>UNITS RECEIVED</th>
<th>USD PRICE<br>PRICE</th>
<th>USD PRICE<br>AMOUNT</th>
</tr>
<tr>
<td></td>
<td>12</td>
<td>432 EA</td>
<td>MBR1410017</td>
<td>8 BRUT SF STR CHRCLBL</td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td></td>
<td>240</td>
<td>EA</td>
<td>MBR0106017</td>
<td>STR CAP CHRCLBL</td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td></td>
<td>16</td>
<td>EA</td>
<td>PALOUT</td>
<td>PALLETS OUT</td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td></td>
<td>1</td>
<td>EA</td>
<td>891900</td>
<td>PALLETS OUT FREIGHT/DELIVERY FREIGHT/DELIVERY</td>
<td></td>
<td></td>
<td></td>
</tr>
</table>
PALIN PALLET DELIVERED OUT (CHARGE)
PALOUT PALLETS RETURNED IN (CREDIT)
A 35% CHARGE WILL BE MADE FOR MERCHANDISE RETURNED. ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS BILL.
Customer’s signature constitutes acknowledgement of receipt of all items listed herein, up to and including the “last page” of this document, except as noted below:
PURCHASER ASSUMES ALL RESPONSIBILITY FOR PROPERTY DAMAGE AFTER TRUCK PASSES CURB LINE. Shipping Plant: 2190
TAX TOTAL
UNITS ORDERED: [ ] UNITS SHIPPED: [ ]
CAUTION!
Sawing or grinding concrete masonry units may result in release of dust particles which may: Acute: Cause minor irritation of the eye or nose. Chronic: Result in lung disease (silicosis) if exposed to excessive amounts for prolonged periods. The use of NIOSH approved respirator and tight fitting goggles is recommended when sawing or grinding operations are in progress.
GREAT CARE IS EXERCISED IN THE SELECTION OF MATERIALS AND SUPPLIERS OF THE PRODUCTS WE SELL. HOWEVER, SINCE THE USE OF THESE PRODUCTS IS BEYOND OUR CONTROL, NO GUARANTEE OR WARRANTY, EXPRESSED OR IMPLIED, IS MADE AS TO SUCH USE OR EFFECTS INCIDENTAL TO SUCH USE.
NO [ ] YES [ ] HOW MANY?
SIGNATURE [_no one_ to sign]
DATE ____________________________
INVOICE
Page No. 1 of 2
INVOICE NO.
28776964*
MIDWEST BLOCK & BRICK
A QUIKRETE® COMPANY
REMIT TO
BEST BLOCK, LLC
P.O. BOX 930134
ATLANTA, GA 31193-0134
BY EFT
ABA: 121000248 (Wells Fargo)
ACCOUNT: 2052700385107
SWIFT: WFBUS6S CHIPS 0407
REMIT INFO:
[email protected]
BILL TO
600735 R & D LAWN CARE & LANDSCAPING
25100 N 59 HWY
GROVE OK 74344
SHIP TO
600735 R & D LAWN CARE & LANDSCAPING
59131 E 301 RD
GROVE OK 74344
CUSTOMER P.O.NUMBER ORDER DATE REF NO. DATE DUE
Derek 03/12/24 24221729 SO 04/12/24
INVOICE SHIP DATE SHIP VIA TERMS TAX ID
03/13/24 Net 30
QUANTITY ITEM NO. DESCRIPTION PRICE U/M AMOUNT
360 MBR1410012 8 BRUT SF STR SNDSTNBL 7.36 EA 2,649.60
180 MBR0106012 STR CAP SNDSTNBL 8.04 EA 1,447.20
48 MBV60500018 GSRW RAPID SET ADHESIVE 10 OZ TUBE 7.06 TB 338.88
13 PALOUT PALLETS OUT 25.00 EA 325.00
1 691900 FREIGHT/DELIVERY 460.00 EA 460.00
THIS MATERIAL SHIPPED MIDWEST BLOCK JOPLIN MO
FROM PLANT NUMBER: 2190 1021 E 15TH STREET
JOPLIN MO 64804
Tel: (417)623-5800 Fax: (800)000-0000
CAUTION! Sawing or grinding concrete masonry units may result in release of dust particles which may: Acute: Cause minor irritation of eye or nose. Chronic: Result in lung disease (silicosis) if exposed to excessive amounts for prolonged periods. The use of NIOSH approved respirator and tight fitting goggles is recommended when sawing or grinding operations are in progress.
A 20% CHARGE WILL BE MADE FOR MERCHANDISE RETURNED, PAST DUE ACCOUNTS WILL BE CHARGED INTEREST AT THE RATE OF 1 1/2% PER MONTH OR 18% ANNUAL.
SUB-TOTAL ► 5,220.68
TAX ► 421.32
INVOICE TOTAL ► 5,642.00
USD DOLLARS PLEASE PAY FROM THIS INVOICE
MIDWEST BLOCK & BRICK
A QUIKRETE® COMPANY
1021 E 15TH STREET
JOPLIN MO 64804
(417)823-5800
Fax (000)000-0000
SOLD TO: 600735 R & D LAWN CARE & LANDSCAPING 28100 N 59 HWY GROVE OK 74344
SHIP TO: 600735 R & D LAWN CARE & LANDSCAPING 59131 E 301 Rd GROVE OK 74344
DATE ORDERED: 03/12/24
DATE REQUESTED: 03/12/24
DATE PROMISED: 03/12/24
DATE SHIPPED: 3-13
PURCHASE ORDER #: Derek
UNIFORM SHIPPING: 24221729-000 SO
SHIP VIA:
TRUCK:
ORDERED BY: DRUSSELL
ORDER ACCEPTED BY:
DRIVER:
MILES:
WEIGHT: 39,103 LB
PROJECT #:
<table>
<tr>
<th>PALLETS</th>
<th>UNITS ORDERED</th>
<th>LINE #</th>
<th>ITEM NUMBER</th>
<th>ITEM DESCRIPTION</th>
<th>UNITS RECEIVED</th>
<th>U80 PRICE</th>
<th>PRICE</th>
<th>AMOUNT</th>
</tr>
<tr>
<td>10</td>
<td>360 EA</td>
<td></td>
<td>MBR1410012</td>
<td>8 BRUT SF STR SNDSTNBL</td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td></td>
<td>180 EA</td>
<td></td>
<td>MBR0106012</td>
<td>STR CAP SNDSTNBL</td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td></td>
<td>48 TB</td>
<td></td>
<td>MBV80500018</td>
<td>GSRW RAPID SET ADHESIVE 10 OZ TUBE</td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td></td>
<td>13 EA</td>
<td></td>
<td>PALOUT</td>
<td>PALLETS OUT</td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td></td>
<td>1 EA</td>
<td></td>
<td>691900</td>
<td>FREIGHT/DELIVERY<br>FREIGHT/DELIVERY</td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
</table>
PALOUT PALLETS DELIVERED OUT (CHARGE)
PALIN PALLETS RETURNED IN (CREDIT)
RECEIVED BY:
A 35% CHARGE WILL BE MADE FOR MERCHANDISE RETURNED. ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS BILL.
Customer's signature constitutes acknowledgement of receipt of all items listed herein, up to and including the "last page" of this document, except as noted below:
PURCHASER ASSUMES ALL RESPONSIBILITY FOR PROPERTY DAMAGE AFTER TRUCK PASSES CURB LINE.
TOTALS
UNITS ORDERED:
UNITS SHIPPED:
USD DOLLARS:
TAX TOTAL
CAUTION!
Sawing or grinding concrete masonry units may result in release of dust particles which may: Acute: Cause minor irritation of the eye or nose. Chronic: Result in lung disease (silicosis). If exposed to excessive amounts for prolonged periods. The use of NIOSH approved respirator and tight fitting goggles is recommended when sawing or grinding operations are in progress.
GREAT CARE IS EXERCISED IN THE SELECTION OF MATERIALS AND SUPPLIERS OF THE PRODUCTS WE SELL. HOWEVER, SINCE THE USE OF THESE PRODUCTS IS BEYOND OUR CONTROL, NO GUARANTEE OR WARRANTY, EXPRESSED OR IMPLIED, IS MADE AS TO SUCH USE OR EFFECTS INCIDENTAL TO SUCH USE.
NO ☐ YES ☐ HOW MANY?
SIGNATURE: No one to sign
DATE: ____________________________
INVOICE
Page No. 1 of 2
BILL TO
600735
R & D LAWN CARE & LANDSCAPING
25100 N 59 HWY
GROVE OK 74344
SHIP TO
600735
R & D LAWN CARE & LANDSCAPING
25100 N 59 HWY
GROVE OK 74344
REMIT TO
BEST BLOCK, LLC
P.O. BOX 930134
ATLANTA, GA 31193-0134
BY EFT
ABA: 121000248 (Wells Fargo)
ACCOUNT: 2052700385107
SWIFT:WFBIUS6S CHIPS 0407
REMIT INFO:
[email protected]
CUSTOMER P.O.NUMBER ORDER DATE REF NO. DATE DUE
V-Lok Limestone 03/21/24 24275740 SO 04/20/24
INVOICE SHIP DATE SHIP VIA TERMS TAX ID
03/21/24 Pickup Net 30
QUANTITY ITEM NO. DESCRIPTION PRICE U/M AMOUNT
96 MBR0100002 VLOK LMST 7.92 EA 760.32
2 PALOUT PALLETS OUT 25.00 EA 50.00
2 807888 ENERGY SURCHARGE 3.50 EA 7.00
SUB-TOTAL ► 817.32
TAX ► 69.61
INVOICE TOTAL ► 886.93
CAUTION! Sawing or grinding concrete masonry units may result in release of dust particles which may: Acute: Cause minor irritation of eye or nose. Chronic: Result in lung disease (silicosis) if exposed to excessive amounts for prolonged periods. The use of NIOSH approved respirator and tight fitting goggles is recommended when sawing or grinding operations are in progress.
A 20% CHARGE WILL BE MADE FOR MERCHANDISE RETURNED. PAST DUE ACCOUNTS WILL BE CHARGED INTEREST AT THE RATE OF 1 1/2% PER MONTH OR 18% ANNUAL.
PLEASE PAY FROM THIS INVOICE
MIDWEST BLOCK & BRICK
A QUIKRETE COMPANY
5619 EAST 16TH STREET
TULSA OK 74112
(918)836-9151
Fax (918)836-2002
SHIP TO:
R & D LAWN CARE & LANDSCAPING
25100 N 59 HWY
GROVE OK 74344
SHIP TO:
R & D LAWN CARE & LANDSCAPING
25100 N 59 HWY
GROVE OK 74344
DATE ORDERED: 03/21/24
DATE REQUESTED: 03/21/24
DATE PROMISED: 03/21/24
DATE SHIPPED:
PURCHASE ORDER #: V-Lok Limestone
UNIFORM # SHIPPING: 24278740-000 SO Pickup
ORDERED BY: DBLACK
ORDER ACCEPTED BY:
DRIVER:
MILES:
WEIGHT: 8,138 LB
PROJECT #:
<table>
<tr>
<th>PALLETS</th>
<th>ITEMS ORDERED</th>
<th>UNIT PRICE</th>
<th>LIN K</th>
<th>ITEM NUMBER</th>
<th>ITEM DESCRIPTION</th>
<th>UNITS RECEIVED</th>
<th>USD PRICE</th>
<th>AMOUNT</th>
</tr>
<tr>
<td></td>
<td>96 EA</td>
<td></td>
<td></td>
<td>MBR0100002</td>
<td>VLOK LMST</td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td></td>
<td>2 EA</td>
<td></td>
<td></td>
<td>PALOUT</td>
<td>PALLETS OUT</td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td></td>
<td>2 EA</td>
<td></td>
<td></td>
<td>807888</td>
<td>PALLETS OUT ENERGY SURCHARGE</td>
<td></td>
<td></td>
<td></td>
</tr>
</table>
PALOUT PALLETS DELIVERED OUT (CHARGE)
PALIN PALLETS RETURNED IN (CREDIT)
RECEIVED BY:
A 35% CHARGE WILL BE MADE FOR MERCHANDISE RETURNED, ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS BILL.
Customer's signature constitutes acknowledgment of receipt of all items listed herein, up to and including the "last page" of this document, except as noted below:
PURCHASER ASSUMES ALL RESPONSIBILITY FOR PROPERTY DAMAGE AFTER TRUCK PASSES CURB LINE.
Shipping Plant: 2130
TOTALS ►
TAX TOTAL
UNITS ORDERED
UNITS SHIPPED
USD DOLLARS
CAUTION!
Sawing or grinding concrete masonry units may result in release of dust particles which may: Cause: Cause minor irritation of the eye or nose. Chronic Result in lung disease (emphysema) if exposed to excessive amounts for prolonged periods. The use of NIOSH approved respirator and tight fitting goggles is recommended when sawing or grinding operations are in progress.
NO ☐ YES ☒ HOW MANY? ________
SIGNATURE ____________________________
DATE _________________________________
GREAT CARE IS EXERCISED IN THE SELECTION OF MATERIALS AND SUPPLIERS OF THE PRODUCTS WE SELL, HOWEVER, SINCE THE USE OF THESE PRODUCTS IS BEYOND OUR CONTROL, NO GUARANTEE OR WARRANTY, EXPRESSED OR IMPLIED, IS MADE AS TO SUCH USE OR EFFECTS INCIDENTAL TO SUCH USE.
INVOICE
Page No. 1 of 2
MIDWEST BLOCK & BRICK
A QUIKRETE® COMPANY
REMIT TO:
BEST BLOCK, LLC
P.O. BOX 930134
ATLANTA, GA 31193-0134
BY EFT
ABA: 121000248 (Wells Fargo)
ACCOUNT: 2052700385107
SWIFT:WFBUS6S CHIPS 0407
REMIT INFO:
[email protected]
BILL TO
600735 R & D LAWN CARE & LANDSCAPING
25100 N 59 HWY
GROVE OK 74344
SHIP TO
600735 R & D LAWN CARE & LANDSCAPING
25100 N 59 HWY
GROVE OK 74344
CUSTOMER P.O.NUMBER ORDER DATE REF NO. DATE DUE
Eucha 03/26/24 24295083 SO 04/25/24
INVOICE SHIP DATE SHIP VIA TERMS TAX ID
03/26/24 Pickup Net 30
<table>
<tr>
<th>QUANTITY</th>
<th>ITEM NO.</th>
<th>DESCRIPTION</th>
<th>PRICE</th>
<th>U/M</th>
<th>AMOUNT</th>
</tr>
<tr>
<td>192</td>
<td>MBR0100002</td>
<td>VLOK LMST</td>
<td>7.92</td>
<td>EA</td>
<td>1,520.64</td>
</tr>
<tr>
<td>4</td>
<td>PALOUT</td>
<td>PALLETS OUT</td>
<td>25.00</td>
<td>EA</td>
<td>100.00</td>
</tr>
<tr>
<td>4</td>
<td>807888</td>
<td>ENERGY SURCHARGE</td>
<td>3.50</td>
<td>EA</td>
<td>14.00</td>
</tr>
<tr>
<td>48</td>
<td>MBV60500013</td>
<td>GATOR BLOCK BOND ADHESIVE XP LOW VOC BLACK TUBE 10 OZ.</td>
<td>7.34</td>
<td>TB</td>
<td>352.32</td>
</tr>
</table>
THIS MATERIAL SHIPPED MIDWEST BLOCK TULSA
FROM PLANT NUMBER: 2130 6519 EAST 15TH STREET
TULSA OK 74112 Tel: (918)836-9151 Fax: (918)836-2002
<table>
<tr>
<th>SUB-TOTAL ►</th>
<th>1,986.96</th>
</tr>
<tr>
<th>TAX ►</th>
<th>169.23</th>
</tr>
<tr>
<th>INVOICE TOTAL ►</th>
<th>2,156.19</th>
</tr>
</table>
CAUTION!: Sawing or grinding concrete masonry units may result in release of dust particles which may: Acute: Cause minor irritation of eye or nose. Chronic: Result in lung disease (silicosis) if exposed to excessive amounts for prolonged periods. The use of NIOSH approved respirator and tight fitting goggles is recommended when sawing or grinding operations are in progress.
A 20% CHARGE WILL BE MADE FOR MERCHANDISE RETURNED. PAST DUE ACCOUNTS WILL BE CHARGED INTEREST AT THE RATE OF 1 1/2% PER MONTH OR 18% ANNUM.
USD DOLLARS PLEASE PAY FROM THIS INVOICE
MIDWEST BLOCK & BRICK
A QUIKRETE COMPANY
5619 EAST 16TH STREET
TULSA OK 74112
(918)836-9151
Fax (918)836-2002
SOLD TO: _______________________________ SHIP TO: _______________________________
600735
R & D LAWN CARE & LANDSCAPING
25100 N 59 HWY
GROVE OK 74344
600735
R & D LAWN CARE & LANDSCAPING
25100 N 59 HWY
GROVE OK 74344
DATE ORDERED: DATE REQUESTED: DATE PROMISED: DATE SHIPPED: PURCHASE ORDER # UNIFORM SHIPPING SHIP VIA TRUCK:
03/26/24 03/26/24 03/26/24 Euchu 24295083-000 SO Pickup
ORDERED BY: _______________________________ ORDER ACCEPTED BY: __________________
DBLACK
<table>
<tr>
<th>PALLET#</th>
<th>UNITS ORDERED</th>
<th>UNIT #</th>
<th>ITEM NUMBER</th>
<th>ITEM DESCRIPTION</th>
<th>UNITS RECEIVED</th>
<th colspan="2">USD PRICE</th>
</tr>
<tr>
<td></td>
<td>192</td>
<td>EA</td>
<td>MBR0100002</td>
<td>VLOK LMST'</td>
<td></td>
<td colspan="2"></td>
</tr>
<tr>
<td></td>
<td>4</td>
<td>EA</td>
<td>PALOUT</td>
<td>PALLETS OUT</td>
<td></td>
<td colspan="2"></td>
</tr>
<tr>
<td></td>
<td>4</td>
<td>EA</td>
<td>807888</td>
<td>PALLETS OUT<br>ENERGY SURCHARGE</td>
<td></td>
<td colspan="2"></td>
</tr>
<tr>
<td></td>
<td>48</td>
<td>TB</td>
<td>MBV60500013</td>
<td>GATOR BLOCK BOND ADHESIVE XP<br>LOW VOC BLACK TUBE 10 OZ.</td>
<td></td>
<td colspan="2"></td>
</tr>
</table>
PALOUT PALLETS DELIVERED OUT (CHARGE)
PALIN PALLETS RETURNED IN (CREDIT)
RECEIVED BY:
A 35% CHARGE WILL BE MADE FOR MERCHANDISE RETURNED. ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS BILL.
Customer's signature constitutes acknowledgement of receipt of all items listed herein, up to and including the "last page" of this document, except as noted below:
PURCHASER ASSUMES ALL RESPONSIBILITY FOR PROPERTY DAMAGE AFTER TRUCK PASSES CURB LINE.
Shipping Plant: 2130
TOTALS ►
UNITS ORDERED UNITS SHIPPED
TAX TOTAL
USD DOLLARS
ITEMS INVOICED ARE NET QUANTITIES RECEIVED
CAUTION!
Sawing or grinding concrete masonry units may result in release of dust particles which may; Aculisti Cause minor irritation of the eye or nose, Chronic Result in lung disease (fibrosis) if exposed to excessive amounts for prolonged periods. The use of NIOSH approved respirator and tight fitting goggles is recommended when sawing or grinding operations are in progress.
NO ☐ YES ☐ HOW MANY?
SIGNATURE ____________________________ DATE ____________________________
GREAT CARE IS EXERCISED IN THE SELECTION OF MATERIALS AND SUPPLIERS OF THE PRODUCTS WE SELL. HOWEVER, SINCE THE USE OF THESE PRODUCTS IS BEYOND OUR CONTROL, NO GUARANTEE OR WARRANTY, EXPRESSED OR IMPLIED, IS MADE AS TO SUCH USE OR EFFECTS INCIDENTAL TO SUCH USE.
OFFICE COPY
PAGE NO. 1 "LAST PAGE"
INVOICE
Page No. 1 of 2
MIDWEST BLOCK & BRICK
A QUIKRETE COMPANY
BILL TO:
600735
R & D LAWN CARE & LANDSCAPING
25100 N 59 HWY
GROVE OK 74344
SHIP TO:
600735
R & D LAWN CARE & LANDSCAPING
JOPLIN MO 64804
REMIT TO:
BEST BLOCK, LLC
P.O. BOX 930134
ATLANTA, GA 31193-0134
BY B EFT
ABA: 121000248 (Wells Fargo)
ACCOUNT: 2052700385107
SWIFT:WFBUS6S CHIPS 0407
REMIT INFO:
[email protected]
CUSTOMER P.O.NUMBER | ORDER DATE | REF NO. | DATE DUE
Derek | 03/27/24 | 24306413 SO | 04/27/24
INVOICE SHIP DATE | SHIP VIA | TERMS | TAX ID
03/28/24 | Pickup | Net 30 |
QUANTITY | ITEM NO. | DESCRIPTION | PRICE | U/M | AMOUNT
144 | MBR1410012 | 8 BRUT SF STR SNDSTNBL | 7.36 | EA | 1,059.84
4 | PALOUT | PALLETS OUT | 25.00 | EA | 100.00
4 | 807888 | ENERGY SURCHARGE | 3.50 | EA | 14.00
THIS MATERIAL SHIPPED MIDWEST BLOCK JOPLIN MO
FROM PLANT NUMBER: 2190
1021 E 16TH STREET
JOPLIN MO 64804
Tel: (417)623-5800 Fax: (800)000-0000
CAUTION! Sawing or grinding concrete masonry units may result in release of dust particles which may: Acute: Cause minor irritation of eye or nose. Chronic: Result in lung disease (silicosis) if exposed to excessive amounts for prolonged periods. The use of NIOSH approved respirator and tight fitting goggles is recommended when sawing or grinding operations are in progress.
SUB-TOTAL ► 1,173.84
TAX ► 102.42
INVOICE TOTAL ► 1,276.26
A 20% CHARGE WILL BE MADE FOR MERCHANDISE RETURNED. PAST DUE ACCOUNTS WILL BE CHARGED INTEREST AT THE RATE OF 1 1/2% PER MONTH OR 18% ANNUM.
USD DOLLARS PLEASE PAY FROM THIS INVOICE
MIDWEST BLOCK & BRICK
A QUIKRETE® COMPANY
1021 E 15TH STREET
JOPLIN MO 64804
(417)623-5800
Fax (000)000-0000
SOLD TO: SHIP TO:
600735
R & D LAWN CARE & LANDSCAPING
25100 N 59 HWY
GROVE OK 74344
600735
R & D LAWN CARE & LANDSCAPING
JOPLIN MO 64804
DATE ORDERED
03/27/24
DATE REQUESTED
03/27/24
DATE PROMISED
03/27/24
DATE SHIPPED
PURCHASE ORDER #
Derek
UNIFORM SHIPPING
24306413-000 SO
SHIP VIA Pickup
TRUCK
ORIGINAL ORDER
ORDERED BY DRUSSELL
ORDER ACCEPTED BY
DRIVER
MILES
WEIGHT 11,039 LB
PROJECT #
<table>
<tr>
<th rowspan="2">PALLETS</th>
<th colspan="2">UNITS</th>
<th rowspan="2">ITEM NUMBER</th>
<th rowspan="2">ITEM DESCRIPTION</th>
<th rowspan="2">UNITS RECEIVED</th>
<th colspan="2">USD PRICE</th>
</tr>
<tr>
<th>ORDERED</th>
<th>LINE #</th>
<th>PRICE</th>
<th>AMOUNT</th>
</tr>
<tr>
<td>4</td>
<td>144 EA</td>
<td></td>
<td>MBR1410012</td>
<td>8 BRUT SF STR SNDSTNBL</td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td>4</td>
<td>EA</td>
<td></td>
<td>PALOUT</td>
<td>PALLETS OUT</td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td>4</td>
<td>EA</td>
<td></td>
<td>807888</td>
<td>PALLETS OUT ENERGY SURCHARGE</td>
<td></td>
<td></td>
<td></td>
</tr>
</table>
PALOUT PALLETS DELIVERED OUT (CHARGE)
PALIN PALLETS RETURNED IN (CREDIT)
RECEIVED BY:
A 35% CHARGE WILL BE MADE FOR MERCHANDISE RETURNED. ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS BILL.
Customer's signature constitutes acknowledgement of receipt of all items listed herein, up to and including the "last page" of this document, except as noted below:
PURCHASER ASSUMES ALL RESPONSIBILITY FOR PROPERTY DAMAGE AFTER TRUCK PASSES CURB LINE.
Shipplit Plant: 2190
TOTALS ▶
UNITS ORDERED
UNITS SHIPPED
TAX TOTAL USD DOLLARS
CAUTION!
Sawing or grinding concrete masonry units may result in release of dust particles which may: Acute: Cause minor irritation of the eye or nose. Chronic Result in lung disease (silicosis) if exposed to excessive amounts for prolonged periods. The use of NIOSH approved respirator and tight fitting goggles is recommended when sawing or grinding operations are in progress.
GREAT CARE IS EXERCISED IN THE SELECTION OF MATERIALS AND SUPPLIERS OF THE PRODUCTS WE SELL. HOWEVER, SINCE THE USE OF THESE PRODUCTS IS BEYOND OUR CONTROL, NO GUARANTEE OR WARRANTY, EXPRESSED OR IMPLIED, IS MADE AS TO SUCH USE OR EFFECTS INCIDENTAL TO SUCH USE.
NO ☐ YES ☐ HOW MANY?_________
SIGNATURE ______________________
DATE ________________
INVOICE
Page No. 1 of 2
BILL TO
600735 R & D LAWN CARE & LANDSCAPING
25100 N 59 HWY
GROVE OK 74344
SHIP TO
600735 R & D LAWN CARE & LANDSCAPING
JOPLIN MO 64804
BEST BLOCK, LLC
P.O. BOX 930134
ATLANTA, GA 31193-0134
REMIT TO
ABA: 121000248 (Wells Fargo)
ACCOUNT: 2052700385107
SWIFT:WFBIUS6S CHIPS 0407
REMIT INFO:
[email protected]
CUSTOMER P.O.NUMBER ORDER DATE REF NO. DATE DUE
301 wiod 04/02/24 24332527 SO 05/02/24
INVOICE SHIP DATE SHIP VIA TERMS TAX ID
04/02/24 Pickup Net 30
<table>
<tr>
<th>QUANTITY</th>
<th>ITEM NO.</th>
<th>DESCRIPTION</th>
<th>PRICE</th>
<th>U/M</th>
<th>AMOUNT</th>
</tr>
<tr>
<td>72</td>
<td>MBR1410012</td>
<td>8 BRUT SF STR SNDSTNBL</td>
<td>7.36</td>
<td>EA</td>
<td>529.92</td>
</tr>
<tr>
<td>2</td>
<td>PALOUT</td>
<td>PALLETS OUT</td>
<td>25.00</td>
<td>EA</td>
<td>50.00</td>
</tr>
<tr>
<td>2</td>
<td>807888</td>
<td>ENERGY SURCHARGE</td>
<td>3.50</td>
<td>EA</td>
<td>7.00</td>
</tr>
<tr>
<td>24</td>
<td>MBV60500018</td>
<td>GSRW RAPID SET ADHESIVE 10 OZ TUBE</td>
<td>7.06</td>
<td>TB</td>
<td>169.44</td>
</tr>
</table>
THIS MATERIAL SHIPPED MIDWEST BLOCK JOPLIN MO
FROM PLANT NUMBER: 2190 1021 E 15TH STREET
JOPLIN MO 64804 Tel: (417)823-5800 Fax: (000)000-0000
SUB-TOTAL ► 756.36
TAX ► 65.99
INVOICE TOTAL ► 822.35
CAUTION!: Sawing or grinding concrete masonry units may result in release of dust particles which may: Acute: Cause minor irritation of eye or nose. Chronic: Result in lung disease (silicosis) If exposed to excessive amounts for prolonged periods. The use of NIOSH approved respirator and tight fitting goggles is recommended when sawing or grinding operations are in progress.
A 20% CHARGE WILL BE MADE FOR MERCHANDISE RETURNED. PAST DUE ACCOUNTS WILL BE CHARGED INTEREST AT THE RATE OF 1 1/2% PER MONTH OR 18% ANNUM.
USD DOLLARS PLEASE PAY FROM THIS INVOICE
MIDWEST BLOCK & BRICK
A QUINCRETE COMPANY
1021 E 15TH STREET
JOPLIN MO 64804
(417)623-5800
Fax (000)000-0000
SOLD TO: 600735 R & D LAWN CARE & LANDSCAPING 25100 N 58 HWY GROVE OK 74344
SHIP TO: 600735 R & D LAWN CARE & LANDSCAPING 25100-N-58-HWAY GROVE-OK-74344 Joplin, MO changed in JDG
DATE ORDERED 04/02/24
DATE REQUESTED 04/02/24
DATE PROMISED 04/02/24
DATE SHIPPED
PURCHASE ORDER # 301 wlod
UNIFORM SHIPPING 24332527-000 SO Pickup
SHIP VIA
TRUCK
ORIGINAL ORDER
ORDERED BY DRUSSELL
ORDER ACCEPTED BY
DRIVER
MILES
WEIGHT 5,519 LB
PROJEBT #
<table>
<tr>
<th>PALLETS</th>
<th>UNITS</th>
<th>ITEM NUMBER</th>
<th>ITEM DESCRIPTION</th>
<th>UNITS RECEIVED</th>
<th>USD PRICE</th>
<th>AMOUNT</th>
</tr>
<tr>
<td>2</td>
<td>72 EA</td>
<td>MBR1410012</td>
<td>8 BRUT SF STR SNDSTNBL</td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td>2</td>
<td>EA</td>
<td>PALOUT</td>
<td>PALLETS OUT</td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td>2</td>
<td>EA</td>
<td>807888</td>
<td>PALLETS OUT ENERGY SURCHARGE</td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td>24</td>
<td>TB</td>
<td>MBV60500018</td>
<td>GSRW RAPID SET ADHESIVE 10 OZ TUBE</td>
<td></td>
<td></td>
<td></td>
</tr>
</table>
PALOUT PALLETS DELIVERED OUT (CHARGE)
PALIN PALLETS RETURNED IN (CREDIT)
RECEIVED BY:
A 35% CHARGE WILL BE MADE FOR MERCHANDISE RETURNED. ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS BILL.
CUSTOMER SIGNATURE ACKNOWLEDGES RECEIPT OF ALL ITEMS LISTED HEREIN, UP TO AND INCLUDING THE "LAST PAGE" OF THIS DOCUMENT, EXCEPT AS NOTED BELOW:
PURCHASER ASSUMES ALL RESPONSIBILITY FOR PROPERTY DAMAGE AFTER TRUCK PASSES CURB LINE.
Shipping Plant: 2190
CAUTION!
Sawing or grinding concrete masonry units may result in release of dust particles which may: cause acute allergies; irritation of the eye or nose, chronic; result in lung disease if exposed to excessive amounts for prolonged periods. The use of NIOSH approved respirator and light fitting goggles is recommended when sawing or grinding operations are in progress.
GREAT CARE IS EXERCISED IN THE SELECTION OF MATERIALS AND SUPPLIERS OF THE PRODUCTS WE SELL. HOWEVER, SINCE THE USE OF THESE PRODUCTS IS BEYOND OUR CONTROL, NO GUARANTEE OR WARRANTY, EXPRESSED OR IMPLIED, IS MADE AS TO SUCH USE OR EFFECTS INCIDENTAL TO SUCH USE.
NO □ YES □ HOW MANY?
SIGNATURE ____________________________
DATE ____________________________
PAGE NO. 1 OFFICE COPY
*LAST PAGE *
INVOICE
Page No. 1 of 1
BILL TO:
600735
R & D LAWN CARE & LANDSCAPING
18839 HOTTLE SRINGS RD
SENECA MO 64865
SHIP TO:
600735
R & D LAWN CARE & LANDSCAPING
18839 HOTTLE SRINGS RD
SENECA MO 64865
BEST BLOCK, LLC
P.O. BOX 930134
ATLANTA, GA 31193-0134
REMIT TO:
ABA: 121000248 (Wells Fargo)
ACCOUNT: 2052700385107
SWIFT:WFBIUS6S CHIPS 0407
REMIT INFO:
[email protected]
CUSTOMER P.O.NUMBER | ORDER DATE | REF NO. | DATE DUE
Grand Terra Fireplace | 05/03/24 | 24521889 SO | 06/02/24
INVOICE SHIP DATE | SHIP VIA | TERMS | TAX ID
05/03/24 | Pickup | Net 30 |
QUANTITY | ITEM NO. | DESCRIPTION | PRICE | U/M | AMOUNT
3 | MBV60010016 | SUPER HEAT STOP II DRY 40#PAIL | 111.38 | PA | 334.14
THIS MATERIAL SHIPPED MIDWEST BLOCK JOPLIN MO
FROM PLANT NUMBER: 2190
1021 E 15TH STREET
JOPLIN MO 64804
Tel: (417)923-5800 Fax: (600)000-0000
CAUTION!: Sawing or grinding concrete masonry units may result in release of dust particles which may: Acute: Cause minor irritation of eye or nose. Chronic: Result in lung disease (silicosis) if exposed to excessive amounts for prolonged periods. The use of NIOSH approved respirator and tight fitting goggles is recommended when sawing or grinding operations are in progress.
A 35% CHARGE WILL BE MADE FOR MERCHANDISE RETURNED. PAST DUE ACCOUNTS WILL BE CHARGED INTEREST AT THE RATE OF 1 1/2% PER MONTH OR 18% ANNUM.
SUB-TOTAL ► 334.14
TAX ► 29.15
INVOICE TOTAL ► 363.29
USD DOLLARS PLEASE PAY FROM THIS INVOICE
MIDWEST BLOCK & BRICK
A QUIKRETE® COMPANY
1021 E 15TH STREET
JOPLIN MO 64804
(417)823-6800
Fax (000)000-0000
SOLD TO: SHIP TO:
600735 600735
R & D LAWN CARE & LANDSCAPING R & D LAWN CARE & LANDSCAPING
18839 HOTTLLE SRINGS RD 18839 HOTTLLE SRINGS RD
SENECA MO 64885 SENECA MO 64885
DATE ORDERED DATE REQUESTED DATE PROMISED DATE SHIPPED PURCHASE ORDER # UNIFORM SHIPPING SHIP VIA TRUCK
05/03/24 05/03/24 05/03/24 Grand Terra Fireplace 24521880-000 SO Pickup
ORDERED BY: DRUSSELL
ORDER ACCEPTED BY:
DRIVER:
MILES:
WEIGHT: 120 LB
PROJECT:
PALLET
UNITS
ORDERED LINE #
ITEM NUMBER
ITEM DESCRIPTION
UNIT RECEIVED
USD PRICE
PRICE AMOUNT
MBV60010016
SUPER HEAT STOP II DRY 40#PAIL
PALLET DELIVERED OUT (CHARGE)
PALLET RETURNED IN (CREDIT)
A 35% CHARGE WILL BE MADE FOR MERCHANDISE RETURNED. ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS BILL.
Customer's signature constitutes acknowledgement of receipt of all items listed herein, up to and including the "last page" of this document, except as noted below:
PURCHASER ASSUMES ALL RESPONSIBILITY FOR PROPERTY DAMAGE AFTER TRUCK PASSES CURB LINE.
Shipping Plant: 2190
TOTALS ▷
UNITS ORDERED UNITS SHIPPED USD DOLLARS
ITEMS INVOICED ARE NET QUANTITIES RECEIVED
CAUTION!
Sawing or grinding concrete masonry units may result in release of dust particles which may; Acute Cause minor Irritation of the eye or nose. Chronic Result In lung disease (Silicosis) if exposed to excessive amounts for prolonged periods. The use of NIOSH approved respirator and tight fitting goggles Is recommended when sawing or grinding operations are in progress.
GREAT CARE IS EXERCISED IN THE SELECTION OF MATERIALS AND SUPPLIERS OF THE PRODUCTS WE SELL. HOWEVER, SINCE THE USE OF THESE PRODUCTS IS BEYOND OUR CONTROL, NO GUARANTEE OR WARRANTY, EXPRESSED OR IMPLIED, IS MADE AS TO SUCH USE OR EFFECTS INCIDENTAL TO SUCH USE.
NO □ YES □ HOW MANY?
SIGNATURE [signature]
DATE ______________________
INVOICE
Page No. 1 of 1
MIDWEST BLOCK & BRICK
A QUIKRETE® COMPANY
BILL TO
600735 R & D LAWN CARE & LANDSCAPING
18839 HOTTLE SRINGS RD
SENECA MO 64865
SHIP TO
600735 R & D LAWN CARE & LANDSCAPING
18839 HOTTLE SRINGS RD
SENECA MO 64865
REMITS TO
BEST BLOCK, LLC
P.O. BOX 930134
ATLANTA, GA 31193-0134
BY
ABA: 121000248 (Wells Fargo)
ACCOUNT: 2052700385107
SWIFT:WFBIUS6S CHIPS 0407
REMIT INFO:
[email protected]
CUSTOMER P.O.NUMBER ORDER DATE REF NO. DATE DUE
Parker Job 05/03/24 24521898 SO 06/02/24
INVOICE SHIP DATE SHIP VIA TERMS TAX ID
05/03/24 Pickup Net 30
<table>
<tr>
<th>QUANTITY</th>
<th>ITEM NO.</th>
<th>DESCRIPTION</th>
<th>PRICE</th>
<th>U/M</th>
<th>AMOUNT</th>
</tr>
<tr>
<td>72</td>
<td>MBV60500018</td>
<td>GSRW RAPID SET ADHESIVE 10 OZ TUBE</td>
<td>7.06</td>
<td>TB</td>
<td>508.32</td>
</tr>
<tr>
<td>48</td>
<td>MBR1410017</td>
<td>8 BRUT SF STR CHRCLBL</td>
<td>7.36</td>
<td>EA</td>
<td>353.28</td>
</tr>
<tr>
<td>1</td>
<td>PALOUT</td>
<td>PALLETS OUT</td>
<td>25.00</td>
<td>EA</td>
<td>25.00</td>
</tr>
<tr>
<td>1</td>
<td>807888</td>
<td>ENERGY SURCHARGE</td>
<td>3.50</td>
<td>EA</td>
<td>3.50</td>
</tr>
</table>
THIS MATERIAL SHIPPED MIDWEST BLOCK JOPLIN MO
FROM PLANT NUMBER: 2190
1021 E 15TH STREET
JOPLIN MO 64804
Tel: (417)923-5800 Fax: (000)000-0000
SUB-TOTAL ► 890.10
TAX ► 77.66
INVOICE TOTAL ► 967.76
CAUTION! Sawing or grinding concrete masonry units may result in release of dust particles which may: Acute: Cause minor irritation of eye or nose. Chronic: Result in lung disease (silicosis) if exposed to excessive amounts for prolonged periods. The use of NIOSH approved respirator and tight fitting goggles is recommended when sawing or grinding operations are in progress.
A 35% CHARGE WILL BE MADE FOR MERCHANDISE RETURNED. PAST DUE ACCOUNTS WILL BE CHARGED INTEREST AT THE RATE OF 1 1/2% PER MONTH OR 18% ANNUM.
USD DOLLARS PLEASE PAY FROM THIS INVOICE
MIDWEST BLOCK & BRICK
A QUIKRETE COMPANY
1021 E 15TH STREET
JOPLIN MO 64804
(417)623-5800
Fax (000)0000-0000
SOLD TO:
600735
R & D LAWN CARE & LANDSCAPING
18839 HOTTLE SRINGS RD
SENECA MO 64865
SHIP TO:
600735
R & D LAWN CARE & LANDSCAPING
18839 HOTTLE SRINGS RD
SENECA MO 64865
DATE ORDERED
05/03/24
DATE REQUESTED
05/03/24
DATE PROMISED
05/03/24
PURCHASE ORDER #
Parker Job
UNIFORM SHIPPING
24521896-000 SO Pickup
ORDERED BY
DRUSSELL
ORDER ACCEPTED BY
DRIVER
MILES
WEIGHT
3,651 LB
PROJECT#
PALLET ORDERED UNITS LINE# ITEM NUMBER ITEM DESCRIPTION UNITS RECEIVED USD PRICE PRICE AMOUNT
1 72 TB MBV60500018 GSRW RAPID SET ADHESIVE 10 OZ TUBE
1 48 EA MBR1410017 8 BRUT SF STR CHRCLBL
1 EA PALOUT PALLETS OUT
1 EA 807888 PALLETS OUT ENERGY SURCHARGE
PALOUT PALLETS DELIVERED OUT (CHARGE)
PALIN PALLETS RETURNED IN (CREDIT)
RECEIVED BY:
A 35% CHARGE WILL BE MADE FOR MERCHANDISE RETURNED. ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS BILL.
Customer's signature constitutes acknowledgement of receipt of all items listed herein, up to and including the "last page" of this document, except as noted below:
PURCHASER ASSUMES ALL RESPONSIBILITY FOR PROPERTY DAMAGE AFTER TRUCK PASSES CURB LINE.
TOTALS ►
Shipping Plant: 2190
UNITS ORDERED UNITS SHIPPED USD DOLLARS
NOTE: ITEMS INVOICED ARE NET QUANTITIES RECEIVED
CAUTION!
Sawing or grinding concrete masonry units may result in release of dust particles which may: Acute cause minor irritation of the eye or nose. Chronic result in lung disease (silicosis) if exposed to excessive amounts for prolonged periods. The use of NIOSH approved respirator and tight fitting goggles is recommended when sawing or grinding operations are in progress.
GREAT CARE IS EXERCISED IN THE SELECTION OF MATERIALS AND SUPPLIERS OF THE PRODUCTS WE SELL, HOWEVER, SINCE THE USE OF THESE PRODUCTS IS BEYOND OUR CONTROL, NO GUARANTEE OR WARRANTY, EXPRESSED OR IMPLIED, IS MADE AS TO SUCH USE OR EFFECTS INCIDENTAL TO SUCH USE.
NO [ ] YES [X] HOW MANY? [ ]
SIGNATURE [ ]
DATE [ ]
PAGE NO. 1 * LAST PAGE * OFFICE COPY
INVOICE
BILL TO
600735
R & D LAWN CARE & LANDSCAPING
18839 HOTTLE SRINGS RD
SENECA MO 64865
SHIP TO
905442
R & D LAWN CARE & LANDSCAPING
25240 HIGHWAY 59 N
GROVE OK 74344
BEST BLOCK, LLC
P.O. BOX 930134
ATLANTA, GA 31193-0134
REMITT TO
BY ABA: 121000248 (Wells Fargo)
ACCOUNT: 2052700385107
SWIFT:WFBIUS6S CHIPS 0407
REMIT INFO:
[email protected]
CUSTOMER P.O.NUMBER ORDER DATE REF NO. DATE DUE
Yard 05/03/24 24521910 SO 06/02/24
INVOICE SHIP DATE SHIP VIA TERMS TAX ID
05/03/24 Net 30
<table>
<tr><th>QUANTITY</th><th>ITEM NO.</th><th>DESCRIPTION</th><th>PRICE</th><th>U/M</th><th>AMOUNT</th></tr>
<tr><td>252</td><td>MBR1410002</td><td>8 BRUT SF STR LMST</td><td>7.36</td><td>EA</td><td>1,854.72</td></tr>
<tr><td>384</td><td>MBR1410012</td><td>8 BRUT SF STR SNDSTNBL</td><td>7.36</td><td>EA</td><td>2,826.24</td></tr>
<tr><td>15</td><td>PALOUT</td><td>PALLETS OUT</td><td>25.00</td><td>EA</td><td>375.00</td></tr>
<tr><td>1</td><td>691900</td><td>FREIGHT/DELIVERY</td><td>400.00</td><td>EA</td><td>400.00</td></tr>
</table>
THIS MATERIAL SHIPPED MIDWEST BLOCK JOPLIN MO
FROM PLANT NUMBER: 2190
1021 E 16TH STREET
JOPLIN MO 64804
Tel: (417)623-5900 Fax: (000)000-0000
SUB-TOTAL ► 5,455.96
TAX ► 515.71
INVOICE TOTAL ► 5,971.67
CAUTION!: Sawing or grinding concrete masonry units may result in release of dust particles which may: Acute: Cause minor irritation of eye or nose. Chronic: Result in lung disease (silicosis) if exposed to excessive amounts for prolonged periods. The use of NIOSH approved respirator and tight fitting goggles is recommended when sawing or grinding operations are in progress.
A 35% CHARGE WILL BE MADE FOR MERCHANDISE RETURNED. PAST DUE ACCOUNTS WILL BE CHARGED INTEREST AT THE RATE OF 1 1/2% PER MONTH OR 18% ANNUM.
USD DOLLARS PLEASE PAY FROM THIS INVOICE
SOLD TO: SHIP TO:
800735 R & D LAWN CARE & LANDSCAPING 18839 HOTTELE SPRINGS RD SENeca MO 64865
905442 R & D LAWN CARE & LANDSCAPING 25240 HIGHWAY 59 N GROVE OK 74344
DATE ORDERED DATE REQUESTED DATE PROMISED DATE SHIPPED PURCHASE ORDER # UNIFORM SHIPPING
05/03/24 05/03/24 05/03/24 5-3 Yard 24521910-000 SO
ORDERED BY: DRUSSELL
ORDER ACCEPTED BY:
DRIVER:
MILES:
WEIGHT: 47,698 LB
PROJECT #:
<table>
<tr>
<th>PALLETS</th>
<th>UNITS ORDERED</th>
<th>LINES</th>
<th>ITEM NUMBER</th>
<th>ITEM DESCRIPTION</th>
<th>UNITS RECEIVED</th>
<th>USD PRICE</th>
<th>PRICE</th>
<th>AMOUNT</th>
</tr>
<tr>
<td>7</td>
<td>252</td>
<td>EA</td>
<td>MBR1410002</td>
<td>8 BRUT SF STR LMST</td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td>11</td>
<td>384</td>
<td>EA</td>
<td>MBR1410012</td>
<td>8 BRUT SF STR SNDSTNBL</td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td>15</td>
<td>EA</td>
<td></td>
<td>PALOUT</td>
<td>PALLETS OUT</td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td>1</td>
<td>EA</td>
<td></td>
<td>691900</td>
<td>FREIGHT/DELIVERY</td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
</table>
PALOUT PALLETS DELIVERED OUT (CHARGE)
PALIN PALLETS RETURNED IN (CREDIT)
RECEIVED BY:
A 35% CHARGE WILL BE MADE FOR MERCHANDISE RETURNED. ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS BILL.
Customer's signature constitutes acknowledgement of receipt of all items listed herein, up to and including the "last page" of this document, except as noted below:
PURCHASER ASSUMES ALL RESPONSIBILITY FOR PROPERTY DAMAGE AFTER TRUCK PASSES CURB LINE.
TOTALS ►
TAX TOTAL
CAUTION!
Sawing or grinding concrete masonry units may result in release of dust particles which may: Acute: Cause minor irritation of the eye or nose; Chronic: Result in lung disease (fibrosis) if exposed to excessive amounts for prolonged periods. The use of NIOSH approved respirator and tight fitting goggles is recommended when sawing or grinding operations are in progress.
GREAT CARE IS EXERCISED IN THE SELECTION OF MATERIALS AND SUPPLIERS OF THE PRODUCTS WE SELL. HOWEVER, SINCE THE USE OF THESE PRODUCTS IS BEYOND OUR CONTROL NO GUARANTEE OR WARRANTY, EXPRESSED OR IMPLIED, IS MADE AS TO SUCH USE OR EFFECTS INCIDENTAL TO SUCH USE.
NO ☐ YES ☐ HOW MANY?
SIGNATURE ____________________________
DATE __________________
SHIPPING INSTRUCTIONS
VOL. #
24521910
ORIGINAL ORDER
INVOICE PAGE NO. 1 OF 1
BILL TO: 600735 R & D LAWN CARE & LANDSCAPING 18839 HOTTLE SRINGS RD SENECA MO 64865
SHIP TO: 600735 R & D LAWN CARE & LANDSCAPING 18839 HOTTLE SRINGS RD SENECA MO 64865
BEST BLOCK, LLC P.O. BOX 930134 ATLANTA, GA 31193-0134
REMIT TO: BY ABA: 121000248 (Wells Fargo) ACCOUNT: 2052700385107 SWIFT:WFBIUS6S CHIP8 0407 REMIT INFO:
[email protected]
CUSTOMER P.O.NUMBER ORDER DATE REF NO. DATE DUE
old Man John 05/07/24 24542105 SO 06/06/24
INVOICE SHIP DATE SHIP VIA TERMS TAX ID
05/07/24 Pickup Net 30
<table>
<tr>
<th>QUANTITY</th>
<th>ITEM NO.</th>
<th>DESCRIPTION</th>
<th>PRICE</th>
<th>U/M</th>
<th>AMOUNT</th>
</tr>
<tr>
<td>120</td>
<td>MBR0100612</td>
<td>STR CAP SNDSTNBL</td>
<td>8.04</td>
<td>EA</td>
<td>964.80</td>
</tr>
<tr>
<td>60</td>
<td>MBV60500018</td>
<td>GSRW RAPID SET ADHESIVE 10 OZ TUBE</td>
<td>7.06</td>
<td>TB</td>
<td>423.60</td>
</tr>
<tr>
<td>2</td>
<td>PALOUT</td>
<td>PALLETS OUT</td>
<td>25.00</td>
<td>EA</td>
<td>50.00</td>
</tr>
<tr>
<td>2</td>
<td>807888</td>
<td>ENERGY SURCHARGE</td>
<td>3.50</td>
<td>EA</td>
<td>7.00</td>
</tr>
</table>
SUB-TOTAL ► 1,445.40
TAX ► 126.11
INVOICE TOTAL ► 1,571.51
Caution! Sawing or grinding concrete masonry units may result in release of dust particles which may: Acute: Cause minor irritation of eye or nose. Chronic: Result in lung disease (silicosis) if exposed to excessive amounts for prolonged periods. The use of NIOSH approved respirator and tight fitting goggles is recommended when sawing or grinding operations are in progress.
A 35% CHARGE WILL BE MADE FOR MERCHANDISE RETURNED. PAST DUE ACCOUNTS WILL BE CHARGED INTEREST AT THE RATE OF 1 1/2% PER MONTH OR 18% ANNUM.
USD DOLLARS PLEASE PAY FROM THIS INVOICE
MIDWEST BLOCK & BRICK
A QUIKRETE® COMPANY
1021 E 15TH STREET
JOPLIN MO 64804
(417)623-5900
Fax (000)000-0000
SOLD TO:
600735
R & D LAWN CARE & LANDSCAPING
18839 HOTTLLE SRINGS RD
SENECA MO 64865
SHIP TO:
600735
R & D LAWN CARE & LANDSCAPING
18839 HOTTLLE SRINGS RD
SENECA MO 64865
DATE ORDERED: 05/07/24
DATE REQUESTED: 05/07/24
DATE PROMISED: 05/07/24
DATE SHIPPED:
PURCHASE ORDER #: old Man John
UNIFORM SHIPPING: 24542105-000 SO
ORDERED BY: DRUSSELL
ORDER ACCEPTED BY:
DRIVER:
MILES:
WEIGHT: 7,670 LB
PROJECT #:
<table>
<tr>
<th>PALLETS</th>
<th>UNITs</th>
<th>ORDERED</th>
<th>ITEM NUMBER</th>
<th>ITEM DESCRIPTION</th>
<th>UNITS RECEIVED</th>
<th>USD PRICE</th>
</tr>
<tr>
<td>120</td>
<td>EA</td>
<td></td>
<td>MBR0106012</td>
<td colspan="3">STR CAP SNDSTNBL</td>
</tr>
<tr>
<td>60</td>
<td>TB</td>
<td></td>
<td>MBV80500018</td>
<td colspan="3">GSRW RAPID SET ADHESIVE 10 OZ TUBE</td>
</tr>
<tr>
<td>2</td>
<td>EA</td>
<td></td>
<td>PALOUT</td>
<td colspan="3">PALLETS OUT</td>
</tr>
<tr>
<td>2</td>
<td>EA</td>
<td></td>
<td>807888</td>
<td colspan="3">ENERGY SURCHARGE</td>
</tr>
</table>
PALOUT PALLETS DELIVERED OUT (CHARGE)
PALIN PALLET RETURNED IN (CREDIT)
RECEIVED BY:
A 35% CHARGE WILL BE MADE FOR MERCHANDISE RETURNED. ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS BILL.
Customer's signature constitutes acknowledgement of receipt of all items listed herein,
up to and including the "last page" of this document, except as noted below:
PURCHASER ASSUMES ALL RESPONSIBILITY FOR PROPERTY DAMAGE AFTER TRUCK PASSES CURB LINE.
TOTALS
UNITS ORDERED
UNITS SHIPPED
TAX TOTAL
USD DOLLARS
ITEMS INVOICED ARE NET QUANTITIES RECEIVED
SHIPPING INSTRUCTIONS
24542105
ORIGINAL ORDER
SHIP VIA: Pickup
TRUCK
CAUTION!
Sawing or grinding concrete masonry units may result in release of dust particles which may: Acute: Cause minor irritation of the eye or nose. Chronic: Result in lung disease (silicosis) if exposed to excessive amounts for prolonged periods. The use of NIOSH approved respirator and light fitting goggles is recommended when sawing or grinding operations are in progress.
SIGNATURE
DATE
NO ☐ YES ☐ HOW MANY?
SIGNATURE
DATE
GREAT CARE IS EXERCISED IN THE SELECTION OF MATERIALS AND SUPPLIERS OF THE PRODUCTS WE SELL. HOWEVER, SINCE THE USE OF THESE PRODUCTS IS BEYOND OUR CONTROL, NO GUARANTEE OR WARRANTY, EXPRESSED OR IMPLIED, IS MADE AS TO SUCH USE OR EFFECTS INCIDENTAL TO SUCH USE.
INVOICE
Page No. 1 of 1
MIDWEST BLOCK & BRICK
A QUIKRETE® COMPANY
BEST BLOCK, LLC
P.O. BOX 930134
ATLANTA, GA 31193-0134
BILL TO: 600735 R & D LAWN CARE & LANDSCAPING
18839 HOTTLE SRINGS RD
SENECA MO 64865
SHIP TO: 600735 R & D LAWN CARE & LANDSCAPING
18839 HOTTLE SRINGS RD
SENECA MO 64865
REMIT TO BY EFT: ABA: 121000248 (Wells Fargo)
ACCOUNT: 2052700385107
SWIFT: WFBUSUSB007
REMIT INFO:
[email protected]
CUSTOMER P.O.NUMBER ORDER DATE REF NO. DATE DUE
Shop 05/08/24 24549839 SO 06/08/24
<table>
<tr>
<th>INVOICE SHIP DATE</th>
<th>SHIP VIA</th>
<th>TERMS</th>
<th>TAX ID</th>
</tr>
<tr>
<td>05/09/24</td>
<td>Pickup</td>
<td>Net 30</td>
<td></td>
</tr>
</table>
<table>
<tr>
<th>QUANTITY</th>
<th>ITEM NO.</th>
<th>DESCRIPTION</th>
<th>PRICE</th>
<th>U/M</th>
<th>AMOUNT</th>
</tr>
<tr>
<td>96</td>
<td>MBR0106012</td>
<td>STR CAP SNDSTNBL</td>
<td>8.04</td>
<td>EA</td>
<td>771.84</td>
</tr>
<tr>
<td>2</td>
<td>PALOUT</td>
<td>PALLETS OUT</td>
<td>25.00</td>
<td>EA</td>
<td>50.00</td>
</tr>
</table>
THIS MATERIAL SHIPPED MIDWEST BLOCK JOPLIN MO
FROM PLANT NUMBER: 2190
1021 E 15TH STREET
JOPLIN MO 64804
Tel: (417)623-5800 Fax: (600)000-0000
SUB-TOTAL ► 821.84
TAX ► 71.71
INVOICE TOTAL ► 893.55
CAUTION! Sawing or grinding concrete masonry units may result in release of dust particles which may: Acute: Cause minor irritation of eye or nose. Chronic: Result in lung disease (silicosis) if exposed to excessive amounts for prolonged periods. The use of NIOSH approved respirator and tight fitting goggles is recommended when sawing or grinding operations are in progress.
A 35% CHARGE WILL BE MADE FOR MERCHANDISE RETURNED. PAST DUE ACCOUNTS WILL BE CHARGED INTEREST AT THE RATE OF 1 1/2% PER MONTH OR 18% ANNUM.
USD DOLLARS PLEASE PAY FROM THIS INVOICE
SOLD TO:
R & D LAWN CARE & LANDSCAPING
18839 HOTTLE SRINGS RD
SENECA MO 64865
SHIP TO:
R & D LAWN CARE & LANDSCAPING
18839 HOTTLE SRINGS RD
SENECA MO 64865
DATE ORDERED: 05/08/24
DATE REQUESTED: 05/08/24
DATE PROMISED: 05/08/24
DATE SHIPPED:
PURCHASE ORDER #: Shop
UNIFORM SHIPPING:
24549639-000 SO
SHIP VIA: Pickup
TRUCK:
ORDERED BY:
DRUSSELL
<table>
<tr>
<th>PALLETS</th>
<th>UNITS</th>
<th>ORDERED</th>
<th>LIN#</th>
<th>ITEM NUMBER</th>
<th>ITEM DESCRIPTION</th>
<th>UNITS RECEIVED</th>
<th>USD PRICE</th>
<th>AMOUNT</th>
</tr>
<tr>
<td></td>
<td>96 EA</td>
<td></td>
<td></td>
<td>MBR0106012</td>
<td>STR CAP SNDSTNBL</td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td></td>
<td>2 EA</td>
<td></td>
<td></td>
<td>PALOUT</td>
<td>PALLETS OUT<br>PALLETS OUT</td>
<td></td>
<td></td>
<td></td>
</tr>
</table>
PALOUT PALLETS DELIVERED OUT (CHARGE)
PALIN PALLETS RETURNED IN (CREDIT)
RECEIVED BY:
A 35% CHARGE WILL BE MADE FOR MERCHANDISE RETURNED. ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS BILL.
Customer's signature constitutes acknowledgement of receipt of all items listed herein, up to and including the "last page" of this document, except as noted below:
PURCHASER ASSUMES ALL RESPONSIBILITY FOR PROPERTY DAMAGE AFTER TRUCK PASSES CURB LINE.
Shipping Plant: 2190
CAUTION!
Sawing or grinding concrete masonry units may result in release of dust particles which may: Cause acute: Causes minor irritation of the eye or nose. Chronic: Result in lung disease (silicosis) if exposed to excessive amounts for prolonged periods. The use of NIOSH approved respirator and tight fitting goggles is recommended when sawing or grinding operations are in progress.
GREAT CARE IS EXERCISED IN THE SELECTION OF MATERIALS AND SUPPLIERS OF THE PRODUCTS WE SELL, HOWEVER, SINCE THE USE OF THESE PRODUCTS IS BEYOND OUR CONTROL, NO GUARANTEE OR WARRANTY, EXPRESSED OR IMPLIED, IS MADE AS TO SUCH USE OR EFFECTS INCIDENTAL TO SUCH USE.
NO ☐ YES ☒ HOW MANY? ________
SIGNATURE _______________________
DATE ____________________________
OFFICE COPY
INVOICE
Page No. 1 of 1
MIDWEST BLOCK & BRICK
A QUIKRETE® COMPANY
BEST BLOCK, LLC
P.O. BOX 930134
ATLANTA, GA 31193-0134
BA: 121000248 (Wells Fargo)
ACCOUNT: 2052700385107
SWIFT:WFBIUS6S CHIPS 0407
REMIT INFO:
[email protected]
BILL TO:
600735
R & D LAWN CARE & LANDSCAPING
18839 HOTTLE SRINGS RD
SENECA MO 64865
SHIP TO:
600735
R & D LAWN CARE & LANDSCAPING
18839 HOTTLE SRINGS RD
SENECA MO 64865
CUSTOMER P.O.NUMBER | ORDER DATE | REF NO. | DATE DUE
Anchor | 05/14/24 | 24581310 SO | 06/13/24
INVOICE SHIP DATE | SHIP VIA | TERMS | TAX ID
05/14/24 | Pickup | Net 30 |
QUANTITY | ITEM NO. | DESCRIPTION | PRICE | U/M | AMOUNT
288 | MBR1410002 | 8 BRUT SF STR LMST | 7.36 | EA | 2,119.68
48 | MBV60500018 | GSRW RAPID SET ADHESIVE 10 OZ TUBE | 7.06 | TB | 338.88
1 | MBV61070018 | GSRW 3 SERIES GRID 6' X 150' | 276.93 | RL | 276.93
8 | PALOUT | PALLET'S OUT | 25.00 | EA | 200.00
8 | 807888 | ENERGY SURCHARGE | 3.50 | EA | 28.00
THIS MATERIAL SHIPPED MIDWEST BLOCK JOPLIN MO
FROM PLANT NUMBER: 2190 1021 E 15TH STREET
JOPLIN MO 64804 Tel: (417)623-5800 Fax: (000)000-0000
CAUTION!: Sawing or grinding concrete masonry units may result in release of dust particles which may: Acute: Cause minor irritation of eye or nose. Chronic: Result in lung disease (silicosis) if exposed to excessive amounts for prolonged periods. The use of NIOSH approved respirator and tight fitting goggles is recommended when sawing or grinding operations are in progress.
A 35% CHARGE WILL BE MADE FOR MERCHANDISE RETURNED. PAST DUE ACCOUNTS WILL BE CHARGED INTEREST AT THE RATE OF 1 1/2% PER MONTH OR 18% ANNUM.
SUB-TOTAL ► 2,963.49
TAX ► 258.56
INVOICE TOTAL ► 3,222.05
USD DOLLARS
MIDWEST BLOCK & BRICK
A QUIKRETE COMPANY
SHIP TO:
600735
R & D LAWN CARE & LANDSCAPING
18839 HOTTLE SPRINGS RD
SENECA MO 64865
SHIP TO:
600735
R & D LAWN CARE & LANDSCAPING
18839 HOTTLE SPRINGS RD
SENECA MO 64865
DATE ORDERED | DATE REQUESTED | DATE PROMISED | DATE SHIPPED | PURCHASE ORDER # | UNIFORM SHIPPING | SHR VIA | TRUCK
05/14/24 | 05/14/24 | 05/14/24 | Anchor | 24581310-000 SO | Pickup |
ORDERED BY: DRUSSELL
ORDER ACCEPTED BY: DRIVER: MILES: WEIGHT: PROJECT #: 21,128 LB
<table>
<tr>
<th rowspan="2">PALLETS</th>
<th rowspan="2">UNITS</th>
<th>ITEM NUMBER</th>
<th>ITEM DESCRIPTION</th>
<th rowspan="2">UNITS RECEIVED</th>
<th colspan="2">USD PRICE</th>
</tr>
<tr>
<th>ORDERED</th>
<th>LINE #</th>
<th>PRICE</th>
<th>AMOUNT</th>
</tr>
<tr>
<td>8</td>
<td>268 EA</td>
<td>MBR1410002</td>
<td>8 BRUT SF STR LMST</td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td>48</td>
<td>TB</td>
<td>MBV60800018</td>
<td>GSRW RAPID SET ADHESIVE 10 OZ TUBE</td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td>1</td>
<td>RL</td>
<td>MBV61070018</td>
<td>GSRW 3 SERIES GRID 6' X 150'</td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td>8</td>
<td>EA</td>
<td>PALOUT</td>
<td>PALLETS OUT</td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td>8</td>
<td>EA</td>
<td>807888</td>
<td>PALLETS OUT ENERGY SURCHARGE</td>
<td></td>
<td></td>
<td></td>
</tr>
</table>
PALOUT PALLETS DELIVERED OUT (CHARGE)
PALIN PALLETS RETURNED IN (CREDIT)
RECEIVED BY:
A 35% CHARGE WILL BE MADE FOR MERCHANDISE RETURNED. ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS BILL.
CUSTOMER'S SIGNATURE CONSTITUTES ACKNOWLEDGEMENT OF RECEIPT OF ALL ITEMS LISTED HEREIN, UP TO AND INCLUDING THE "LAST PAGE" OF THIS DOCUMENT, EXCEPT AS NOTED BELOW.
PURCHASER ASSUMES ALL RESPONSIBILITY FOR PROPERTY DAMAGE AFTER TRUCK PASSES CURB LINE.
Shipping Plant: 2190
CAUTION!
Sawing or grinding concrete masonry units may result in release of dust particles which may: Acute: Cause minor irritation of the eye or nose. Chronic: Result in lung disease (fibrosis) if exposed to excessive amounts for prolonged periods. The use of NIOSH approved respirator and light fitting goggles is recommended when sawing or grinding operations are in progress.
NO ☐ YES ☐ HOW MANY?
SIGNATURE __________________________
DATE ________________________________
GREAT CARE IS EXERCISED IN THE SELECTION OF MATERIALS AND SUPPLIERS OF THE PRODUCTS WE SELL. HOWEVER, SINCE THE USE OF THESE PRODUCTS IS BEYOND OUR CONTROL, NO GUARANTEE OR WARRANTY, EXPRESSED OR IMPLIED, IS MADE AS TO SUCH USE OR EFFECTS INCIDENTAL TO SUCH USE.
INVOICE
MIDWEST BLOCK & BRICK
A QUIKRETE® COMPANY
BILL TO: 600735 R & D LAWN CARE & LANDSCAPING
18839 HOTTLE SRINGS RD
SENECA MO 64865
SHIP TO: 600735 R & D LAWN CARE & LANDSCAPING
18839 HOTTLE SRINGS RD
SENECA MO 64865
BEST BLOCK, LLC
P.O. BOX 930134
ATLANTA, GA 31193-0134
REMIT TO:
ABA: 121000248 (Wells Fargo)
ACCOUNT: 2052700385107
SWIFT:WFBIUS6S CHIP 0407
REMIT INFO:
[email protected]
CUSTOMER P.O.NUMBER ORDER DATE REF NO. DATE DUE
253 05/17/24 24603722 SO 06/16/24
INVOICE SHIP DATE SHIP VIA TERMS TAX ID
05/17/24 Pickup Net 30
<table>
<tr>
<th>QUANTITY</th>
<th>ITEM NO.</th>
<th>DESCRIPTION</th>
<th>PRICE</th>
<th>U/M</th>
<th>AMOUNT</th>
</tr>
<tr>
<td>180</td>
<td>MBR0106002</td>
<td>STR CAP LMST</td>
<td>8.04</td>
<td>EA</td>
<td>1,447.20</td>
</tr>
<tr>
<td>108</td>
<td>MBR1410002</td>
<td>8 BRUT SF STR LMST</td>
<td>7.36</td>
<td>EA</td>
<td>794.88</td>
</tr>
<tr>
<td>6</td>
<td>PALOUT</td>
<td>PALLETS OUT</td>
<td>25.00</td>
<td>EA</td>
<td>150.00</td>
</tr>
<tr>
<td>6</td>
<td>807888</td>
<td>ENERGY SURCHARGE</td>
<td>3.50</td>
<td>EA</td>
<td>21.00</td>
</tr>
<tr>
<td>12</td>
<td>MBV60500018</td>
<td>GSRW RAPID SET ADHESIVE 10 OZ TUBE</td>
<td>7.06</td>
<td>TB</td>
<td>84.72</td>
</tr>
</table>
THIS MATERIAL SHIPPED FROM PLANT NUMBER: 2190
MIDWEST BLOCK JOPLIN MO
1021 E 15TH STREET
JOPLIN MO 64804
Tel: (417)623-5800 Fax: (600)000-0000
CAUTION!: Sawing or grinding concrete masonry units may result in release of dust particles which may: Acute: Cause minor irritation of eye or nose. Chronic: Result in lung disease (silicosis) if exposed to excessive amounts for prolonged periods. The use of NIOSH approved respirator and tight fitting goggles is recommended when sawing or grinding operations are in progress.
A 35% CHARGE WILL BE MADE FOR MERCHANDISE RETURNED. PAST DUE ACCOUNTS WILL BE CHARGED INTEREST AT THE RATE OF 1 1/2% PER MONTH OR 18% ANN.
SUB-TOTAL ► 2,497.80
TAX ► 217.93
INVOICE TOTAL ► 2,715.73
USD DOLLARS
PLEASE PAY FROM THIS INVOICE
MIDWEST BLOCK & BRICK
A QUIKRETE® COMPANY
1021 E 16TH STREET
JOPLIN MO 64804
(417)623-5800
Fax (000)000-0000
SOLD TO:
600735
R & D LAWN CARE & LANDSCAPING
18839 HOTTLE SRINGS RD
SENECA MO 64865
SHIP TO:
600735
R & D LAWN CARE & LANDSCAPING
18839 HOTTLE SRINGS RD
SENECA MO 64865
DATE ORDERED: 05/17/24
DATE REQUESTED: 05/17/24
DATE PROMISED: 05/17/24
DATE SHIPPED:
PURCHASE ORDER #: 253
UNIFORM SHIPPING: 24603722-000 SO
SHIP VIA: Pickup
ORIGINAL ORDER
ORDERED BY: JMOSS
ORDER ACCEPTED BY:
DRIVER:
MILES:
WEIGHT: 19,428 LB
PROJECT #:
<table>
<tr>
<th>PALLETS</th>
<th>UNITS</th>
<th>ITEM NUMBER</th>
<th>ITEM DESCRIPTION</th>
<th>UNITS RECEIVED</th>
<th colspan="2">USD PRICE</th>
</tr>
<tr>
<td rowspan="5">3</td>
<td>180 EA</td>
<td>MBR0106002</td>
<td>STR CAP LMST</td>
<td></td>
<td>PRICE</td>
<td>AMOUNT</td>
</tr>
<tr>
<td>108 EA</td>
<td>MBR1410002</td>
<td>8 BRUT SF STR LMST</td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td>6 EA</td>
<td>PALOUT</td>
<td>PALLETS OUT</td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td>6 EA</td>
<td>807888</td>
<td>ENERGY SURCHARGE</td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td>12 TB</td>
<td>MBV60500018</td>
<td>GSRW RAPID SET ADHESIVE 10 OZ TUBE</td>
<td></td>
<td></td>
<td></td>
</tr>
</table>
PALOUT PALLETS DELIVERED OUT (CHARGE)
PALIN PALLETS RETURNED IN (CREDIT)
RECEIVED BY:
A 35% CHARGE WILL BE MADE FOR MERCHANDISE RETURNED. ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS BILL.
Customer's signature constitutes acknowledgement of receipt of all items listed herein, up to and including the "last page" of this document, except as noted below:
PURCHASER ASSUMES ALL RESPONSIBILITY FOR PROPERTY DAMAGE AFTER TRUCK PASSES CURB LINE.
TOTALS ►
Shipping Plant: 2190
CAUTION!
Sawing or grinding concrete masonry units may result in release of dust particles which may: Arouse: Cause minor irritation of the eye or nose. Chemical Result in lung disease (silicosis) if exposed to excessive amounts for prolonged periods. The use of Midwest approved respirators and light filtering goggles is recommended when sawing or grinding operations are in progress.
GREAT CARE IS EXERCISED IN THE SELECTION OF MATERIALS AND SUPPLIERS OF THE PRODUCTS WE SELL. HOWEVER, SINCE THE USE OF THESE PRODUCTS IS BEYOND OUR CONTROL, NO GUARANTEE OR WARRANTY, EXPRESSED OR IMPLIED, IS MADE AS TO SUCH USE OR EFFECTS INCIDENTAL TO SUCH USE.
NO ☐ YES ☐ HOW MANY?
SIGNATURE
DATE
INVOICE
Page No. 1 of 1
MIDWEST BLOCK & BRICK
A QUIKRETE® COMPANY
BEST BLOCK, LLC
P.O. BOX 930134
ATLANTA, GA 31193-0134
R E M I T TO
BY EFT
ABA: 121000248 (Wells Fargo)
ACCOUNT: 2052700385107
SWIFT:WFBIUS6S CHIPS 0407
REMIT INFO:
[email protected]
BILL TO: R&D LAWN CARE & LANDSCAPING
18839 HOTTLE SRINGS RD
SENECA MO 64865
SHIP TO: R&D LAWN CARE & LANDSCAPING
18839 HOTTLE SRINGS RD
SENECA MO 64865
CUSTOMER P.O. NUMBER ORDER DATE REF NO. DATE DUE
Achor Rd 05/21/24 24624502 SO 06/20/24
INVOICE SHIP DATE SHIP VIA TERMS TAX ID
05/21/24 Pickup Nat 30
<table>
<tr>
<th>QUANTITY</th>
<th>ITEM NO.</th>
<th>DESCRIPTION</th>
<th>PRICE</th>
<th>U/M</th>
<th>AMOUNT</th>
</tr>
<tr>
<td>1</td>
<td>MBV61070018</td>
<td>GSRW 3 SERIES GRID 6' X 150'</td>
<td>276.53</td>
<td>RL</td>
<td>276.53</td>
</tr>
<tr>
<td>48</td>
<td>MBV60500018</td>
<td>GSRW RAPID SET ADHESIVE 10 OZ TUBE</td>
<td>7.06</td>
<td>TB</td>
<td>338.88</td>
</tr>
<tr>
<td>120</td>
<td>MBR0106002</td>
<td>STR CAP LMST</td>
<td>8.04</td>
<td>EA</td>
<td>964.80</td>
</tr>
<tr>
<td>216</td>
<td>MBR1410002</td>
<td>8 BRUT SF STR LMST</td>
<td>7.36</td>
<td>EA</td>
<td>1,589.76</td>
</tr>
<tr>
<td>8</td>
<td>PALOUT</td>
<td>PALLETS OUT</td>
<td>25.00</td>
<td>EA</td>
<td>200.00</td>
</tr>
<tr>
<td>8</td>
<td>807888</td>
<td>ENERGY SURCHARGE</td>
<td>3.50</td>
<td>EA</td>
<td>28.00</td>
</tr>
<tr>
<td>1400</td>
<td>MBZ090708</td>
<td>SHRINK WRAP</td>
<td>.03</td>
<td>LF</td>
<td>42.00</td>
</tr>
</table>
THIS MATERIAL SHIPPED MIDWEST BLOCK JOPLIN MO
FROM PLANT NUMBER: 2190 1021 E 16TH STREET
JOPLIN MO 64804
Tel: (417)623-5800 Fax: (000)000-0000
SUB-TOTAL ► 3,439.97
TAX ► 300.14
INVOICE TOTAL ► 3,740.11
CAUTION! Sawing or grinding concrete masonry units may result in release of dust particles which may: Acute; Cause minor irritation of eye or nose. Chronic; Result in lung disease (silicosis) if exposed to excessive amounts for prolonged periods. The use of NIOSH approved respirator and tight fitting goggles is recommended when sawing or grinding operations are in progress.
A 36% CHARGE WILL BE MADE FOR MERCHANDISE RETURNED. PAST DUE ACCOUNTS WILL BE CHARGED INTEREST AT THE RATE OF 1 1/2% PER MONTH OR 18% ANNUM.
MIDWEST BLOCK & BRICK
A QUIKRETE COMPANY
1021 E 15TH STREET
JOPLIN MO 64804
(417)623-5800
Fax (000)000-0000
SOLD TO:
600735
R & D LAWN CARE & LANDSCAPING
18839 HOTTLE SRINGS RD
SENECA MO 64865
SHIP TO:
600735
R & D LAWN CARE & LANDSCAPING
18839 HOTTLE SRINGS RD
SENECA MO 64865
DATE ORDERED: 05/21/24 DATE REQUESTED: 05/21/24 DATE PROMISED: 05/21/24 DATE SHIPPED: PURCHASE ORDER #: Achor Rd UNIFORM SHIPPG: 24624502-000 SO SHIP VIA: Pickup TRUCK:
ORDERED BY: DRUSSELL ORDER ACCEPTED BY: DRIVER: MILES: WEIGHT: 23,516 LB PROJECT #:
<table>
<tr>
<th>PALLETS</th>
<th>UNITS ORDERED</th>
<th>LINENUMBER</th>
<th>ITEM NUMBER</th>
<th>ITEM DESCRIPTION</th>
<th>UNITS RECEIVED</th>
<th colspan="2">USD PRICE</th>
</tr>
<tr>
<td></td>
<td>1 RL</td>
<td></td>
<td>MBV61070018</td>
<td>GSRW 3 SERIES GRID 6' X 150"</td>
<td></td>
<td colspan="2"></td>
</tr>
<tr>
<td></td>
<td>48 TB</td>
<td></td>
<td>MBV60500018</td>
<td>GSRW RAPID SET ADHESIVE 10 OZ TUBE</td>
<td></td>
<td colspan="2"></td>
</tr>
<tr>
<td></td>
<td>120 EA</td>
<td></td>
<td>MBR0106002</td>
<td>STR CAP LMST</td>
<td></td>
<td colspan="2"></td>
</tr>
<tr>
<td>6</td>
<td>216 EA</td>
<td></td>
<td>MBR1410002</td>
<td>8 BRUT SF STR LMST</td>
<td></td>
<td colspan="2"></td>
</tr>
<tr>
<td></td>
<td>8 EA</td>
<td></td>
<td>PALOUT</td>
<td>PALLETS OUT</td>
<td></td>
<td colspan="2"></td>
</tr>
<tr>
<td></td>
<td>8 EA</td>
<td></td>
<td>807888</td>
<td>PALLETS OUT<br>ENERGY SURCHARGE<br>Shrink wrap</td>
<td></td>
<td colspan="2"></td>
</tr>
</table>
PALLET DELIVERED OUT (CHARGE)
PALLET RETURNED IN (CREDIT)
RECEIVED BY:
A 38% CHARGE WILL BE MADE FOR MERCHANDISE RETURNED; ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS BILL.
Customer's signature constitutes acknowledgement of receipt of all items listed herein, up to and including the "last page" of this document, except as noted below:
PURCHASER ASSUMES ALL RESPONSIBILITY FOR PROPERTY DAMAGE AFTER TRUCK PASSES CURB LINE.
TOTALS ►
TAX TOTAL
UNITES ORDERED
UNITES SHIPPED
USD. DOLLARS
ITEMS INVOICED ARE NET QUANTITIES RECEIVED
NO ☐ YES ☐ HOW MANY?
SIGNATURE
DATE
CAUTION!
Sawing or grinding concrete masonry units may result in release of dust particles which may: Acute: Cause minor irritation of the eye or nose. Chronic: Result in lung disease [silicosis] if exposed to excessive amounts for prolonged periods. The use of NIOSH approved respirator and tight fitting goggles is recommended when sawing or grinding operations are in progress.
GREAT CARE IS EXERCISED IN THE SELECTION OF MATERIALS AND SUPPLIERS OF THE PRODUCTS WE SELL. HOWEVER, SINCE THE USE OF THESE PRODUCTS IS BEYOND OUR CONTROL, NO GUARANTEE OR WARRANTY, EXPRESSED OR IMPLIED, IS MADE AS TO SUCH USE OR EFFECTS INCIDENTAL TO SUCH USE.
INVOICE
Page No. 1 of 1
INVOICE NO.
29265876
BILL TO: 600735 R & D LAWN CARE & LANDSCAPING 18839 HOTTLE SRINGS RD SENECA MO 64865
SHIP TO: 905442 R & D LAWN CARE & LANDSCAPING 25240 HIGHWAY 59 N GROVE OK 74344
REMIT TO:
BEST BLOCK, LLC
P.O. BOX 930134
ATLANTA, GA 31193-0134
BY EFT
ABA: 121000248 (Wells Fargo)
ACCOUNT: 2052700385107
SWIFT:WFBIUS6S CHIPS 0407
REMIT INFO:
[email protected]
CUSTOMER P.O.NUMBER ORDER DATE REF NO. DATE DUE
Yard 05/28/24 24660806 SO 06/28/24
INVOICE SHIP DATE SHIP VIA TERMS TAX ID
05/29/24 Net 30
<table>
<tr>
<th>QUANTITY</th>
<th>ITEM NO.</th>
<th>DESCRIPTION</th>
<th>PRICE</th>
<th>U/M</th>
<th>AMOUNT</th>
</tr>
<tr>
<td>432</td>
<td>MBR1410002</td>
<td>8 BRUT SF STR LMST</td>
<td>7.36</td>
<td>EA</td>
<td>3,179.52</td>
</tr>
<tr>
<td>192</td>
<td>MBR1410018</td>
<td>8 BRUT SF STR DSRTBL</td>
<td>7.36</td>
<td>EA</td>
<td>1,413.12</td>
</tr>
<tr>
<td>48</td>
<td>MBV60500018</td>
<td>GSRW RAPID SET ADHESIVE 10 OZ TUBE</td>
<td>7.06</td>
<td>TB</td>
<td>338.88</td>
</tr>
<tr>
<td>1</td>
<td>MBV61070018</td>
<td>GSRW 3 SERIES GRID 6' X 150'</td>
<td>276.93</td>
<td>RL</td>
<td>276.93</td>
</tr>
<tr>
<td>16</td>
<td>PALOUT</td>
<td>PALLETS OUT</td>
<td>25.00</td>
<td>EA</td>
<td>400.00</td>
</tr>
<tr>
<td>1</td>
<td>691900</td>
<td>FREIGHT/DELIVERY</td>
<td>400.00</td>
<td>EA</td>
<td>400.00</td>
</tr>
</table>
SUB-TOTAL ▷ 6,008.45
TAX ▷ 572.06
INVOICE TOTAL ▷ 6,580.51
CAUTION!: Sawing or grinding concrete masonry units may result in release of dust particles which may: Acute: Cause minor irritation of eye or nose. Chronic: Result in lung disease (silicosis) if exposed to excessive amounts for prolonged periods. The use of NIOSH approved respirator and tight fitting goggles is recommended when sawing or grinding operations are in progress.
A 38% CHARGE WILL BE MADE FOR MERCHANDISE RETURNED. PAST DUE ACCOUNTS WILL BE CHARGED INTEREST AT THE RATE OF 1 1/2% PER MONTH OR 18% ANNUM.
USD DOLLARS PLEASE PAY FROM THIS INVOICE
SOLD TO: 600735 R & D LAWN CARE & LANDSCAPING 18839 HOTTEL STRINGS RD SENECA MO 64865
SHIP TO: 905442 R & D LAWN CARE & LANDSCAPING 25240 HIGHWAY 59 N GROVE OK 74344
DATE ORDERED 05/28/24
DATE REQUESTED 05/28/24
DATE PROMISED 05/28/24
DATE SHIPPED 05-28
PURCHASE ORDER # Yard
UNICORN SHIPPING 24660806-000 SO
SHIP VIA TRUCK
ORDERED BY DRUSSELL
ORDER ACCEPTED BY
DRIVER
MILES 3h
WEIGHT 46,207 LB
PROJECT #
ITEM NUMBER ITEM DESCRIPTION
MBR1410002 8 BRUT SF STR LMST
MBR1410018 8 BRUT SF STR DSRTBL
MBV60600018 GSRW RAPID SET ADHESIVE 10 OZ TUBE
MBV6100018 GSRW 3 SERIES GRID 6' X 150'
PALOUT PALLETS OUT
PALOUT PALLETS OUT
FREIGHT/DELIVERY
FREIGHT/DELIVERY
691900
PALOUT PALLETS DELIVERED OUT (CHARGE)
PALIN PALLETS RETURNED IN (CREDIT)
RECEIVED BY:
A 35% Charge will be made for merchandise returned. All claims and returned goods must be accompanied by this bill.
TAX TOTAL
UNITS ORDERED UNITS SHIPPED USD DOLLARS
CAUTION!
Sawing or grinding concrete masonry units may result in release of dust particles which may: Acute; Cause minor irritation of the eye or nose. Chronic Result in lung disease (silicosis) if exposed to excessive amounts for prolonged periods. The use of NIOSH approved respirator and tight fitting goggles is recommended when sawing or grinding operations are in progress.
NO ☐ YES ☐ HOW MANY?
SIGNATURE
DATE
NO ONE TO SIGN
INVOICE
BEST BLOCK, LLC
P.O. BOX 930134
ATLANTA, GA 31193-0134
ABA: 121000248 (Wells Fargo)
ACCOUNT: 2052700385107
SWIFT:WFBIUS6S CHIPS 0407
REMIT INFO:
[email protected]
BILL TO
600735 R & D LAWN CARE & LANDSCAPING
18839 HOTTLE SRINGS RD
SENECA MO 64865
SHIP TO
600735 R & D LAWN CARE & LANDSCAPING
18839 HOTTLE SRINGS RD
SENECA MO 64865
CUSTOMER P.O.NUMBER ORDER DATE REF NO. DATE DUE
8 Miami Drive 05/31/24 24682204 SO 06/30/24
INVOICE SHIP DATE SHIP VIA TERMS TAX ID
05/31/24 Pickup Net 30
<table>
<tr>
<th>QUANTITY</th>
<th>ITEM NO.</th>
<th>DESCRIPTION</th>
<th>PRICE</th>
<th>U/M</th>
<th>AMOUNT</th>
</tr>
<tr>
<td>144</td>
<td>MBR1410017</td>
<td>8 BRUT SF STR CHRCLBL</td>
<td>7.36</td>
<td>EA</td>
<td>1,059.84</td>
</tr>
<tr>
<td>3</td>
<td>PALOUT</td>
<td>PALLETS OUT</td>
<td>25.00</td>
<td>EA</td>
<td>75.00</td>
</tr>
<tr>
<td>3</td>
<td>807888</td>
<td>ENERGY SURCHARGE</td>
<td>3.50</td>
<td>EA</td>
<td>10.50</td>
</tr>
<tr>
<td>2</td>
<td>MBV90050243</td>
<td>KRFT 500' ORANGE/BLK BONDED BRD LN</td>
<td>21.63</td>
<td>EA</td>
<td>43.26</td>
</tr>
</table>
THIS MATERIAL SHIPPED MIDWEST BLOCK JOPLIN MO
FROM PLANT NUMBER: 2190
1021 E 16TH STREET
JOPLIN MO 64804
Tel: (417)623-5800 Fax: (000)900-0000
SUB-TOTAL ► 1,188.60
TAX ► 103.71
INVOICE TOTAL ► 1,292.31
CAUTION!: Sawing or grinding concrete masonry units may result in release of dust particles which may: Acute: Cause minor irritation of eye or nose. Chronic: Result in lung disease (silicosis) if exposed to excessive amounts for prolonged periods. The use of NIOSH approved respirator and tight fitting goggles is recommended when sawing or grinding operations are in progress.
A 36% CHARGE WILL BE MADE FOR MERCHANDISE RETURNED. PAST DUE ACCOUNTS WILL BE CHARGED INTEREST AT THE RATE OF 1 1/2% PER MONTH OR 18% ANNUM.
USD DOLLARS PLEASE PAY FROM THIS INVOICE
MIDWEST BLOCK & BRICK
A QUAKRETE COMPANY
1021 E 15TH STREET
JOPLIN MO 64804
(417)623-5800
Fax (000)000-0000
SOLD TO: 600735 R & D LAWN CARE & LANDSCAPING 18839 HOTTLE SRINGS RD SENECA MO 64865
SHIP TO: 600735 R & D LAWN CARE & LANDSCAPING 18839 HOTTLE SRINGS RD SENECA MO 64865
DATE ORDERED: 05/31/24
DATE REQUESTED: 05/31/24
DATE PROMISED: 05/31/24
DATE SHIPPED:
PURCHASE ORDER #: 8 Miami Drive
UNIFORM SHIPPING: 24682204-000 SO
SHIP VIA: Pickup
ORIGINAL ORDER
ORDERED BY: DRUSSELL
ORDER ACCEPTED BY: DRUSSELL
DRIVER:
MILES:
WEIGHT: 10,956 LB
PROJECT #:
PALLET UNITS UNDERSHIPPING
ITEM NUMBER ITEM DESCRIPTION
UNITS RECEIVED USD PRICE
AMOUNT
4 EA MBR1410017 8 BRUT SF STR CHRCLBL
3 EA PALOUT PALLETS OUT
3 EA 807888 ENERGY SURCHARGE
2 EA MBV90050243 KRFT 500' ORANGE/BLK BONDED BRD LN
PALOUT PALLETS DELIVERED OUT (CHARGE)
PALIN PALLETS RETURNED IN (CREDIT)
RECEIVED BY:
A 35% CHARGE WILL BE MADE FOR MERCHANDISE RETURNED. ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS BILL.
Customer's signature constitutes acknowledgement of receipt of all items listed herein, up to and including the "last page" of this document, except as noted below:
PURCHASER ASSUMES ALL RESPONSIBILITY FOR PROPERTY DAMAGE AFTER TRUCK PASSES CURB LINE.
Shipping Plant: 2190
TOTALS
UNITS ORDERED: _______
UNITS SHIPPED: _______
USD DOLLARS: _______
CAUTION!
Saving or grinding concrete masonry units may result in release of dust particles which may: Acute Cause: Skin Irritation of the eye or nose. Chronic: Result in lung disease (silicosis) if exposed to excessive amounts for prolonged periods. The use of NIOSH approved respirator and tight fitting goggles is recommended when sawing or grinding operations are in progress.
GREAT CARE IS EXERCISED IN THE SELECTION OF MATERIALS AND SUPPLIERS OF THE PRODUCTS WE SELL. HOWEVER, SINCE THE USE OF THESE PRODUCTS IS BEYOND OUR CONTROL, NO GUARANTEE OR WARRANTY, EXPRESSED OR IMPLIED, IS MADE AS TO SUCH USE OR EFFECTS INCIDENTAL TO SUCH USE.
NO ☐ YES ☐ HOW MANY? ________
SIGNATURE ______________________
DATE ____________
INVOICE
Page No. 1 of 1
MIDWEST BLOCK & BRICK
A QUIKRETE® COMPANY
INVOICE NO.
29368924
BILL TO
600735 R & D LAWN CARE & LANDSCAPING
18839 HOTTELE SRINGS RD
SENECA MO 64865
SHIP TO
600735 R & D LAWN CARE & LANDSCAPING
451407 PHEASANT CIRCLE
AFTON OK 74331
REMIT TO
BEST BLOCK, LLC
P.O. BOX 930134
ATLANTA, GA 31193-0134
BY EFT
ABA: 121000248 (Wells Fargo)
ACCOUNT: 2052700385107
SWIFT:WFBIUS6S CHIPS 0407
REMIT INFO:
[email protected]
CUSTOMER P.O.NUMBER ORDER DATE REF NO. DATE DUE
451407 Pheasant Circle 06/12/24 24750566 SO 07/13/24
INVOICE SHIP DATE SHIP VIA TERMS TAX ID
06/13/24 . Net 30
<table>
<tr>
<th>QUANTITY</th>
<th>ITEM NO.</th>
<th>DESCRIPTION</th>
<th>PRICE</th>
<th>U/M</th>
<th>AMOUNT</th>
</tr>
<tr>
<td>576</td>
<td>MBR1410017</td>
<td>8 BRUT SF STR CHRCLBL</td>
<td>7.36</td>
<td>EA</td>
<td>4,239.36</td>
</tr>
<tr>
<td>12</td>
<td>PALOUT</td>
<td>PALLETS OUT</td>
<td>25.00</td>
<td>EA</td>
<td>300.00</td>
</tr>
<tr>
<td>1</td>
<td>691900</td>
<td>FREIGHT/DELIVERY</td>
<td>460.00</td>
<td>EA</td>
<td>460.00</td>
</tr>
</table>
THIS MATERIAL SHIPPED MIDWEST BLOCK JOPLIN MO
FROM PLANT NUMBER: 2190 1021 E 15TH STREET
JOPLIN MO 64804
Tel: (417)623-5800 Fax: (000)000-0000
SUB-TOTAL ► 4,999.36
TAX ► 281.44
INVOICE TOTAL ► 5,280.80
CAUTION!: Sawing or grinding concrete masonry units may result in release of dust particles which may: Acute: Cause minor irritation of eye or nose. Chronic: Result in lung disease (silicosis) if exposed to excessive amounts for prolonged periods. The use of NIOSH approved respirator and tight fitting goggles is recommended when sawing or grinding operations are in progress.
A 35% CHARGE WILL BE MADE FOR MERCHANDISE RETURNED. PAST DUE ACCOUNTS WILL BE CHARGED INTEREST AT THE RATE OF 1 1/2% PER MONTH OR 18% ANNUM.
USD DOLLARS PLEASE PAY FROM THIS INVOICE
MIDWEST BLOCK & BRICK
A QUIKRETE COMPANY
1021 E 15TH STREET
JOPLIN MO 64804
(417)623-5800
Fax (000)000-0000
SOLD TO:
600735
R & D LAWN CARE & LANDSCAPING
18839 HOTTEL SRINGS RD
SENECA MO 64865
SHIP TO:
600735
R & D LAWN CARE & LANDSCAPING
451407 Pheasant Circle
AFTON OK 74331
DATE ORDERED: 06/12/24
DATE REQUESTED: 06/12/24
DATE PROMISED: 06/12/24
DATE SHIPPED: 6-13
PURCHASE ORDER #: 451407 Pheasant Circle
UNIFORM SHIPPING: 24750566-000 SO
ORDER ACCEPTED BY: DRUSSELL
DRIVER: JR
WEIGHT: 43,816 LB
PROJECT #:
PALLET ORDER
<table>
<tr>
<th>PALLETS</th>
<th>ORDERED</th>
<th>LINENUMBER</th>
<th>ITEM NUMBER</th>
<th>ITEM DESCRIPTION</th>
<th>UNITS RECEIVED</th>
<th>USD PRICE</th>
</tr>
<tr>
<td></td>
<td>16</td>
<td>576 EA</td>
<td>MBR1410017</td>
<td>8 BRUT SF STR CHRCLBL</td>
<td></td>
<td></td>
</tr>
<tr>
<td></td>
<td>12</td>
<td>EA</td>
<td>PALOUT</td>
<td>PALLETS OUT</td>
<td></td>
<td></td>
</tr>
<tr>
<td></td>
<td>1</td>
<td>EA</td>
<td>691800</td>
<td>FREIGHT/DELIVERY</td>
<td></td>
<td></td>
</tr>
</table>
PALOUT PALLET DELIVERED OUT (CHARGE)
PALIN PALLET RETURNED IN (CREDIT)
RECEIVED BY:
A 35% CHARGE WILL BE MADE FOR MERCHANDISE RETURNED. ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS BILL.
Customer's signature constitutes acknowledgement of receipt of all items listed herein, up to and including the "last page" of this document, except as noted below:
PURCHASER ASSUMES ALL RESPONSIBILITY FOR PROPERTY DAMAGE AFTER TRUCK PASSES CURB LINE.
Shipping Plant: 2190
TOTALS ▶
UNITS ORDERED:
UNITS SHIPPED:
USD DOLLARS:
CAUTION!
Sawing or grinding concrete masonry units may result in release of dust particles which may: Aquele: Cause minor irritation of the eye or nose. Chronic: Result in lung disease (silicosis) if exposed to excessive amounts for prolonged periods. The use of NIOSH approved respirator and light fitting goggles is recommended when sawing or grinding operations are in progress.
GREAT CARE IS EXERCISED IN THE SELECTION OF MATERIALS AND SUPPLIERS OF THE PRODUCTS WE SELL. HOWEVER, SINCE THE USE OF THESE PRODUCTS IS BEYOND OUR CONTROL, NO GUARANTEE OR WARRANTY, EXPRESSED OR IMPLIED, IS MADE AS TO SUCH USE OR EFFECTS INCIDENTAL TO SUCH USE.
NO ☐ YES ☐ HOW MANY? ________
SIGNATURE: NO ONE TO SIGN
DATE: __________
PAGE NO. 1
LAST PAGE *
INVOICE
Page No. 1 of 1
INVOICE NO.
29423963
MIDWEST BLOCK & BRICK
A QUIKRETE® COMPANY
BILL TO
600735
R & D LAWN CARE & LANDSCAPING
18639 HOTTLE SRINGS RD
SENECA MO 64865
SHIP TO
600735
R & D LAWN CARE & LANDSCAPING
451407 PHEASANT CIRCLE
AFTON OK 74331
REMIT TO
BEST BLOCK, LLC
P.O. BOX 930134
ATLANTA, GA 31193-0134
BY EFT
ABA: 121000248 (Wells Fargo)
ACCOUNT: 2052700385107
SWIFT:WFBIUS6S CHIPS 0407
REMIT INFO:
[email protected]
CUSTOMER P.O.NUMBER | ORDER DATE | REF NO. | DATE DUE
451407 Pheasant Circle | 06/19/24 | 24794682 SO | 07/21/24
INVOICE SHIP DATE | SHIP VIA | TERMS | TAX ID
06/21/24 | . | Net 30 |
<table>
<tr>
<th>QUANTITY</th>
<th>ITEM NO.</th>
<th>DESCRIPTION</th>
<th>PRICE</th>
<th>U/M</th>
<th>AMOUNT</th>
</tr>
<tr>
<td>480</td>
<td>MBR1410017</td>
<td>8 BRUT SF STR CHRCLBL</td>
<td>7.36</td>
<td>EA</td>
<td>3,532.80</td>
</tr>
<tr>
<td>96</td>
<td>MBR0106017</td>
<td>STR CAP CHRCLBL</td>
<td>8.04</td>
<td>EA</td>
<td>771.84</td>
</tr>
<tr>
<td>60</td>
<td>MBV60500018</td>
<td>GSRW RAPID SET ADHESIVE 10 OZ TUBE</td>
<td>7.06</td>
<td>TB</td>
<td>423.60</td>
</tr>
<tr>
<td>12</td>
<td>PALOUT</td>
<td>PALLETS OUT</td>
<td>25.00</td>
<td>EA</td>
<td>300.00</td>
</tr>
<tr>
<td>1</td>
<td>691900</td>
<td>FREIGHT/Delivery</td>
<td>460.00</td>
<td>EA</td>
<td>460.00</td>
</tr>
</table>
THIS MATERIAL SHIPPED MIDWEST BLOCK JOPLIN MO
FROM PLANT NUMBER: 2190 1021 E 18TH STREET
JOPLIN MO 64804
Tel: (417)623-9809 Fax: (000)000-0000
SUB-TOTAL ► 5,488.24
TAX ► 311.75
INVOICE TOTAL ► 5,799.99
USD DOLLARS
CAUTION! Sawing or grinding concrete masonry units may result in release of dust particles which may: Acute: Cause minor irritation of eye or nose. Chronic: Result in lung disease (silicosis) if exposed to excessive amounts for prolonged periods. The use of NIOSH approved respirator and tight fitting goggles is recommended when sawing or grinding operations are in progress.
A 35% CHARGE WILL BE MADE FOR MERCHANDISE RETURNED, PAST DUE ACCOUNTS WILL BE CHARGED INTEREST AT THE RATE OF 1 1/2% PER MONTH OR 18% ANNUAL.
MIDWEST BLOCK & BRICK
A QUIKRETE COMPANY
1021 E 15TH STREET
JOPLIN MO 64804
(417)623-5800
Fax (000)000-0000
SOLD TO:
600735
R & D LAWN CARE & LANDSCAPING
18839 HOTTLLE SPRINGS RD
SENECA MO 64865
SHIP TO:
600735
R & D LAWN CARE & LANDSCAPING
451407 Pheasant Circle
AFTON OK 74331
SHIPPING INSTRUCTIONS:
Jody 2 sc
6-20
24794682
ORIGINAL ORDER
DATE ORDERED | DATE REQUESTED | DATE PROMISED | DATE SHIPPED | PURCHASE ORDER # | UNIFORM SHIPPING | SHIP VIA | TRUCK
06/19/24 | 06/19/24 | 06/19/24 | 6-20 | 451407 Pheasant Circle | 24794682-000 SO |
ORDERED BY: DRUSSELL
ORDER ACCEPTED BY: SK
MILES:
WEIGHT: 42,684 LB
PROJECT #:
<table>
<tr>
<th>PALLETS</th>
<th>UNITS</th>
<th>ITEM NUMBER</th>
<th>ITEM DESCRIPTION</th>
<th>UNITS RECEIVED</th>
<th>USD PRICE</th>
<th>AMOUNT</th>
</tr>
<tr>
<td>13</td>
<td>480 EA</td>
<td>MBR1410017</td>
<td>8 BRUT SF STR CHRCLBL</td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td></td>
<td>96 EA</td>
<td>MBR0106017</td>
<td>STR CAP CHRCLBL</td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td></td>
<td>60 TB</td>
<td>MBV60500018</td>
<td>GSRW RAPID SET ADHESIVE 10 OZ TUBE</td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td></td>
<td>12 EA</td>
<td>PALOUT</td>
<td>PALLETS OUT</td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td></td>
<td>1 EA</td>
<td>691900</td>
<td>FREIGHT/DELIVERY</td>
<td></td>
<td></td>
<td></td>
</tr>
</table>
PALOUT PALLETS DELIVERED OUT (CHARGE)
PALIN PALLETS RETURNED IN (CREDIT)
RECEIVED BY:
A 35% CHARGE WILL BE MADE FOR MERCHANDISE RETURNED. ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS BILL.
Customer's signature constitutes acknowledgement of receipt of all items listed herein, up to and including the "last page" of this document, except as noted below:
PURCHASER ASSUMES ALL RESPONSIBILITY FOR PROPERTY DAMAGE AFTER TRUCK PASSES CURB LINE.
Shhipping Plant: 2100
TOTALS ►
UNITS ORDERED
UNITS SHIPPED
USD DOLLARS
TAX TOTAL
ITEMS INVOSUED ARE NET QUANTITIES RECEIVED
CAUTION!
Sawing or grinding concrete masonry units may result in release of dust particles which may: Acute Cause minor irritation of the eye or nose. Chronic Result In lung disease (efficinalsly exposed to excessive amounts for prolonged periods. The use of NIOSH approved respirator and tight fitting goggles is recommended when sawing or grinding operations are in progress.
GREAT CARE IS EXERCISED IN THE SELECTION OF MATERIALS AND SUPPLIERS OF THE PRODUCTS WE SELL. HOWEVER, SINCE THE USE OF THESE PRODUCTS IS BEYOND OUR CONTROL, NO GUARANTEE OR WARRANTY, EXPRESSED OR IMPLIED, IS MADE AS TO SUCH USE OR EFFECTS INCIDENTAL TO SUCH USE.
NO ☐ YES ☐ HOW MANY?
SIGNATURE Justin Morgan
DATE ________
PAGE NO. 1
*LAST PAGE*