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�CMCX CEMEX <br />CEMEX Construction Materials Florida, LLC <br />CEMEX One <br />Bay Crete <br />Kennedy Concrete <br />t it('t�l�Il�h11111111r111111[111111111111111111111111111lu Jill <br />INV2INSA000379 <br />BLUE GOOSE CONSTRUCTION <br />PO BOX 14709 <br />FORT PIERCE FL 34979-4709 <br />M <br />For All Inquiries Call: <br />833.675-7375 <br />Remit To: <br />CEMEX I PO Box 730197 I Dallas, TX 75373-0197 <br />PAGE 10; 1 <br />PO Number 1290 DELIVERY ADDRESS: 400 WOODLAND OR., VERO BEACH, FL, 32961 <br />Ship Dale Delivery Ref 5 Product Code / Description Oty UOM Net Price By UOht MIs Amount Frelght Tx <br />03MI12018 6078504689 35556193 12D2749EW1RONMENTALCHARGE 1.000 EA S20.00 I PC 1.000 $20.00 $0.00 T <br />ONI2018 SD7M688 35556793 1247818FUELSURCHARGE 1.000 EA $17.50 t PC 1.000 81750 $0.00 T <br />031012018 80785046118 3566793 15516652500 REG 3.500 Y03 $99.50 1 YD3 3500 534825 SOA T <br />03/012018 BOTSM4668 35556793 1571252 SERV,PAYLOAO,CHARGEOVER3-8,CUSICYA 1.000 PC $Mon I PC 1.000 $200.00 $0.00 T <br />031012018 8078504688 3555'5793 15=55SERVCONCRETEHANDUNGFEE PER LOAD 1.000 EA $t0A0 1 EA 1,000 $10.00 $OAO T <br />031012018 807=4606 35555793 1589831 MONOER 2.630 LB $6.67 1 LB 2.630 51754 $0.00 T <br />PC Subtotal 1 3SOYards OAOTons $613Mmaledal $0.00 Freight $0.0000w $4294Tax 406.23 Total <br />APPROVED 1290/6921 <br />By Bryan Crain at 9:08 am, Mar 26, 2098 <br />.■a■t■�■a■a■.masa■a■.■a■>t■�■a■a■a■a■.a /JWt <br />216202.6315 A 2161290 H 6921 /1 <br />■a■aaa■a■aaa■a■ ut■a■a■a■a■a■ ua■a■ai, <br />r <br />350 Yard I 0,00 Tons 1 $0.00 Freight I 50.00 Other 1 $4294 Tax 1 $656.231mrobo Total <br />nevaeoke UawaeMas twmby rcrwrra eater, ersNUw*=%'" cremspa umr w%svpRstwamir ardeonamm seers ow•amnwissurf omrcor'!tt•Mn(Gculaa rcvom of"awlDeai»$lsickmmmu <br />Invoke rAarumari eveeraaeea WL urea 02OW"roted cawLaremeaes ww mf aero&Iv m" dceAd and fwdwe m%* apeee bPor huew4nee aAth eir AW—WL tR MIMtalaeato WA Nfea:a• <br />125 <br />INVOICE <br />Date: <br />03/,01/2018 <br />Invoice No: <br />9437245034 <br />Terms: <br />Net 151h <br />Payment Due On: <br />04/15/2018 <br />Territory Manager. <br />-HAGENS, CURTIS <br />Job No: <br />14554530 <br />Legal Address: <br />400 WOODLAND DR. <br />Customer Job No. <br />1290 <br />Account No. <br />3172586 <br />Account Name: <br />BLUE GOOSE CONSTRUCTION <br />For All Inquiries Call: <br />833.675-7375 <br />Remit To: <br />CEMEX I PO Box 730197 I Dallas, TX 75373-0197 <br />PAGE 10; 1 <br />PO Number 1290 DELIVERY ADDRESS: 400 WOODLAND OR., VERO BEACH, FL, 32961 <br />Ship Dale Delivery Ref 5 Product Code / Description Oty UOM Net Price By UOht MIs Amount Frelght Tx <br />03MI12018 6078504689 35556193 12D2749EW1RONMENTALCHARGE 1.000 EA S20.00 I PC 1.000 $20.00 $0.00 T <br />ONI2018 SD7M688 35556793 1247818FUELSURCHARGE 1.000 EA $17.50 t PC 1.000 81750 $0.00 T <br />031012018 80785046118 3566793 15516652500 REG 3.500 Y03 $99.50 1 YD3 3500 534825 SOA T <br />03/012018 BOTSM4668 35556793 1571252 SERV,PAYLOAO,CHARGEOVER3-8,CUSICYA 1.000 PC $Mon I PC 1.000 $200.00 $0.00 T <br />031012018 8078504688 3555'5793 15=55SERVCONCRETEHANDUNGFEE PER LOAD 1.000 EA $t0A0 1 EA 1,000 $10.00 $OAO T <br />031012018 807=4606 35555793 1589831 MONOER 2.630 LB $6.67 1 LB 2.630 51754 $0.00 T <br />PC Subtotal 1 3SOYards OAOTons $613Mmaledal $0.00 Freight $0.0000w $4294Tax 406.23 Total <br />APPROVED 1290/6921 <br />By Bryan Crain at 9:08 am, Mar 26, 2098 <br />.■a■t■�■a■a■.masa■a■.■a■>t■�■a■a■a■a■.a /JWt <br />216202.6315 A 2161290 H 6921 /1 <br />■a■aaa■a■aaa■a■ ut■a■a■a■a■a■ ua■a■ai, <br />r <br />350 Yard I 0,00 Tons 1 $0.00 Freight I 50.00 Other 1 $4294 Tax 1 $656.231mrobo Total <br />nevaeoke UawaeMas twmby rcrwrra eater, ersNUw*=%'" cremspa umr w%svpRstwamir ardeonamm seers ow•amnwissurf omrcor'!tt•Mn(Gculaa rcvom of"awlDeai»$lsickmmmu <br />Invoke rAarumari eveeraaeea WL urea 02OW"roted cawLaremeaes ww mf aero&Iv m" dceAd and fwdwe m%* apeee bPor huew4nee aAth eir AW—WL tR MIMtalaeato WA Nfea:a• <br />125 <br />