REPRINT 6/16/2021

Seller:
Titan Florida LLC
PENNSUCO QUARRY 7:48:04AM
11000 N.W. 121st Way
MEDLEY
(800) 226-2958
Ticket # 6310772
90002183 Pounds Tons Metric
Cust. #:
Gross 78760 39.38 35.72
Customer: ADONEL CONCRETE CORP
Tare 29720 14.86 13.48
Order : 25034315
Net 49040 24.52 22.24
DEL/1900 SKEES RD WPB
FL 33411 24.52 Ton
WEST PALM BEACH
Dispatch 0 0.00
1900 SKEES RD WPB 33411 ADONEL CONC - WPB Qty Today (Tons): 0.00
48.15 1.23
PO : WPB
Loads Today: 0.00
Product : 102728 #89 STONE CO#17 FDOT 87145
2 1.23
CERT.FOR FDOT
1007118 SERVISAN USA LLC Time In: 7:35:21AM
Carrier :
Weighmaster: Gus Miranda
Vehicle : 80
Location ID 1003
Scale: 2
Driver: Customer:
Warning: Avoid Breathing Dust
This product contains greater than 0.1% cystalline silica. Prolonged and repeated breathing of crystalline silica can cause silicosis and may cause cancer, either
of which can result in permanent, serious illness or death. For more informaiton, please request Material Safety Data Sheet from supplier.