Scale Ticket Form PDF Details

A scale ticket form is a document that is used to record the weight of an article. The form has several spaces for the date, name of the scales operator, name of the company, type and description of material, net weight, tare weight, and signature of the person who weighed the article. This form is often used by businesses to ensure that they are paying for what they are receiving and to have a record of what was weighed.

You will discover additional information about the scale ticket form by checking out the table our team put together for you.

QuestionAnswer
Form NameScale Ticket Form
Form Length20 pages
Fillable?No
Fillable fields0
Avg. time to fill out5 min
Other namesscale tickets trucking, empty scale ticket, truck scale weight tickets, blank scale tickets

Form Preview Example

Custom Printed Tickets...

Any of the stock tickets in this catalog can be modied and custom printed to your specications. We can customize any of the following to suit your needs:

Size

Number of parts

Custom heading and/or logo

Carbon or carbonless

White or colored paper

Custom numbering

Printing on back

Multi-color printing

Punching

Die-cutting

We have been manufacturing scale tickets to customer specications for over 85 years. Custom orders normally ship in two weeks. Please give us a call, we will do our best to answer your questions and offer suggestions.

WE OFFER...

Quality Products, Manufactured to O.E.M. Specifi cations

Outstanding Service & Quality Products

Over 85 Years of Experience

Stock & Custom Forms

Nation-Wide Service

Please call for pricing or information

800-234-5999

1008 North 16th Street

Omaha, Nebraska 68102

(402) 342-3688

800-234-5999

(402) 342-4380 Fax www.scaletickets.com

www.scaletickets.com

CARBONLESS TICKET

WEIGHED ON A FAIRBANKS SCALE

DATE

CUSTOMER’S NAME

ADDRESS

COMMODITY

CARRIER

 

DATE

TIME

 

 

 

 

 

 

 

 

 

 

 

 

lb GROSS

 

 

 

 

 

 

 

 

 

 

 

 

lb TARE – DRIVER

ON

 

 

 

 

OFF

 

 

 

 

 

 

lb NET @

 

 

 

PER lb PRICE

 

 

 

 

SHIPPER

 

 

 

 

 

 

REMARKS

 

 

 

 

WEIGHER

FAIRBANKS CAT. 083600

SIZE 315/16 x 91/2 INCHES

Carbonless White Self-Imaging Paper, White Carbonless Bond

FORM NO.

ALT. FORM NO.

PARTS

#’D

1,000

1,500

2,000

2,500

5,000

10,000

 

 

 

 

 

 

 

 

 

 

083600

96747

3

 

112.40

168.60

224.80

281.00

395.00

790.00

WEIGHED ON A FAIRBANKS SCALE

Date

Customer’s Name

Address

Commodity

Remarks

Carrier

12345

LBS. GROSS

 

 

 

 

 

 

 

LBS. TARE

–– Driver On

 

Off

 

 

 

LBS. NET

@

 

Per lb. Price

 

 

FAIRBANKS CAT. NO. 083897

Shipper

Weigher

SIZE 315/16 x 91/2 INCHES

White Self-Imaging Paper, White Bond, White Ledger, Blue One-Time Carbon

FORM NO.

ALT. FORM NO.

PARTS

#’D

1,000

1,500

2,000

2,500

5,000

10,000

 

 

 

 

 

 

 

 

 

 

083897

96780

2

 

130.30

163.50

186.80

210.25

327.00

560.00

083901

96785

3

 

138.40

182.40

212.00

241.75

390.00

687.00

083902

 

3

#

145.10

192.45

225.40

258.50

423.50

753.00

083905

96787

4

 

160.90

194.70

228.40

262.25

431.00

768.00

083906

96789

4

#

167.60

204.60

241.60

278.75

464.00

835.00

Page 2

Prices subject to change without notice

www.scaletickets.com

CARBONLESS TICKET

WEIGHED ON A FAIRBANKS SCALE

CUSTOMER’S NAME

ADDRESS

COMMODITY

CARRIER

INBOUND DATE

TIME

OUTBOUND DATE

TIME

DRIVER ON

 

OFF

SHIPPER

WEIGHER

FAIRBANKS CAT. 083620

SIZE 315/16 x 71/8 INCHES

CARBONLESS TICKET

CAT. NO. 083620 – Quadruplicate Carbonless White Self-Imaging Paper, White Carbonless Bond

FORM NO.

ALT. FORM NO.

PARTS #’D

1,000

1,500

2,000

2,500

5,000

10,000

 

 

 

 

 

 

 

 

 

083620

16288

4

113.10

169.50

226.00

 

260.50

427.50

761.00

 

 

 

083930

96796

4

160.90

194.70

228.40

 

262.25

431.00

768.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ELECTRONIC SCALE TICKET

 

 

 

 

 

 

 

 

 

DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CUSTOMERS NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COMMODITY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CARRIER

 

 

 

 

 

 

 

 

 

REMARKS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CONS NO

IDENT

DATE

TIME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

GROSS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TARE – DRIVER ON

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OFF

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NET @

 

 

PER LB.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PRICE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SHIPPER

 

 

 

 

 

 

 

 

 

 

CAT. 083930

 

 

 

 

 

 

 

 

WEIGHER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SIZE 315/16 x 91/2 INCHES

CAT. NO. 083930 – Quadruplicate

White Self-Imaging Paper, White Bond, White Ledger, Blue One-Time Carbon

Page 3

www.scaletickets.com

 

 

 

 

 

 

 

WEIGHED ON A FAIRBANKS SCALE

12345

 

 

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Customer’s Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Commodity

 

 

 

 

 

 

 

GROSS

 

 

 

 

LB

 

 

Carrier

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TARE

 

 

 

 

LB

 

 

Remarks

Driver On

 

 

Off

 

 

 

 

 

 

 

 

 

 

 

 

NET

 

 

 

 

LB

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Shipper

 

@

 

 

Per lb. Price

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fairbanks Scale Cat. 083501

 

 

 

Weigher

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SIZE 211/16 x 8 INCHES

White Self-Imaging Paper, White Bond, White Ledger, Blue One-Time Carbon – NUMBERED

FORM NO.

ALT. FORM NO.

PARTS

#’D

1,000

1,500

2,000

2,500

5,000

10,000

 

 

 

 

 

 

 

 

 

 

083501

96736

4

#

127.00

172.65

199.00

225.50

357.50

621.00

WEIGHED ON A FAIRBANKS SCALE

 

Date

 

Number

Customer’s Name

 

 

 

Address

 

 

 

Commodity

 

 

 

Carrier

Remarks

 

 

LBS. GROSS

 

 

 

LBS. TARE

Driver – On

Off

 

LBS. NET @

 

Per lb.

Price

Shipper

 

 

 

Weigher

 

 

FAIRBANKS CAT. 083715 (SJ2114)

 

 

 

SIZE 315/16 x 63/4 INCHES

White Bond Paper, White Ledger, Blue One-Time Carbon

FORM NO.

ALT. FORM NO.

PARTS

#’D

1,000

1,500

2,000

2,500

5,000

10,000

 

 

 

 

 

 

 

 

 

 

SJ-2114

083715/96762

2

 

76.60

114.75

152.80

185.50

227.50

461.00

SJ-2114

083715

2

#

83.20

124.80

166.40

202.25

302.00

528.00

SJ-2114T

083766/96763

3

 

90.20

135.00

180.00

206.25

316.50

545.00

SJ-2114T

083766

3

#

96.80

145.05

193.40

223.00

349.50

611.00

Page 4

Prices subject to change without notice

www.scaletickets.com

WEIGHT RECORDED BY

Number

 

HOWESCALE

Date

 

IDENTIFICATION

WEIGHT

LBS. GROSS

LBS. TARE

LBS. NET

Commodity

 

@

 

Remarks

 

 

Driver On

 

 

 

Load No.

 

 

 

Weigher

Shipper

 

 

Seller

 

 

Buyer

 

 

per lb.

Off

Address

TR-200-2TM

SIZE 5 x 7 INCHES

White Bond Paper, White Ledger, Blue One-Time Carbon

FORM NO.

PARTS

#’D

1,000

1,500

2,000

2,500

5,000

10,000

 

 

 

 

 

 

 

 

 

TR-200-2TM

2

 

135.30

156.30

177.20

198.25

303.00

513.00

TR-200-3T

3

 

146.00

172.20

198.40

224.75

356.00

619.00

Ticket No.

 

 

 

 

 

 

 

Date

 

Weighed At

 

 

 

 

 

 

Time

 

 

 

 

 

 

 

 

 

 

 

GROSS

Material

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TARE

Truck No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NET

Driver:

On

 

 

Off

 

 

 

 

 

 

 

 

 

 

Customer Ord.

 

 

 

 

 

 

 

Deliver To

Remarks

Driver

 

Weigher

Received By

TRUCK TICKET

TB 46-3PT.

TRB MOTOR

Form No.

SIZE 315/16 x 6 INCHES

White Self-Imaging Paper, Pink Bond, White Tag, Blue One-Time Carbon

FORM NO.

PARTS

#’D

1,000

1,500

2,000

2,500

5,000

10,000

 

 

 

 

 

 

 

 

 

TB 46-3PT

3

 

134.70

183.60

213.80

244.00

394.50

695.00

Page 6

Prices subject to change without notice

www.scaletickets.com

ELECTRONIC SCALE TICKET

12345

DATE

SELLER

BUYER

ADDRESS

CITY

 

STATE

 

ZIP

COMMODITY

PRICE

REMARKS

DRIVER ON OFF

WEIGHER

Form ES-4

SIZE 51/2 x 9 INCHES

White Bond Papers, White Ledger, Blue One-Time Carbon

FORM NO.

PARTS

#’D

1,000

1,500

2,000

2,500

5,000

10,000

 

 

 

 

 

 

 

 

 

ES-4

4

 

164.90

200.70

236.40

272.00

451.00

808.00

ES-4

4

#

171.60

210.60

249.60

288.75

484.00

875.00

ELECTRONIC SCALE TICKET

Date

Seller

Buyer

Address

City

 

State

 

Zip

Commodity

Price

Remarks

Driver

Weigher

ES-49

ON

OFF

SIZE 4 x 9 INCHES

White Bond Papers, Blue One-Time Carbon

FORM NO.

PARTS

#’D

1,000

1,500

2,000

2,500

5,000

10,000

 

 

 

 

 

 

 

 

 

ES-49

4

 

143.10

167.85

192.60

217.50

341.50

589.00

Page 8

Prices subject to change without notice

www.scaletickets.com

CALIFORNIA WEIGHMASTER CERTIFICATE

Designed to Fit Most Applications

WEIGHMASTER CERTIFICATE

THIS IS TO CERTIFY that the following described commodity was weighed, measured or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed

by Chapter 7 (commencing with Section 12700) of Division 5 of the California Business and Professions Code,12345 administered by the Division of Measurement Standards of the California Department of Food and Agriculture.

Weighmaster

Weighed at

Address

Weighed for/

Seller

Address

Delivered to/

Buyer

Commodity

 

 

 

 

 

Units

 

Gross

 

 

 

 

 

 

 

 

By

 

 

Deputy - Date

 

 

Tare

 

 

 

 

 

 

 

 

By

 

 

 

Deputy - Date

 

 

 

 

 

 

 

 

 

 

Shipper’s &

 

 

 

 

 

 

 

Loader’s

 

Carrier

 

 

 

Count

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TRUCK LICENSE NO.

TRAILER LICENSE NO.

 

 

 

TRAILER LICENSE NO.

 

 

 

 

 

 

 

 

 

 

 

 

GROSS

ON OFF

 

DRIVER

Form WC-4

ORIGINAL

TARE

ON

OFF

SIZE 5 1/2 x 9 INCHES

White Bond Papers, White Ledger, Blue One-Time Carbon – NUMBERED

FORM NO.

PARTS

#’D

1,000

1,500

2,000

2,500

5,000

10,000

 

 

 

 

 

 

 

 

 

WC-4

4

#

171.60

210.60

249.60

288.75

484.00

875.00

For custom tickets on above format

contact our customer service representatives

at 800-234-5999

Page 10

Prices subject to change without notice

www.scaletickets.com

CARBON COATED BACK PAPERS

 

 

 

 

WEIGHED ON A FAIRBANKS SCALE

 

NO

12345

 

 

 

Load

 

 

 

 

 

 

 

 

 

 

Date

 

 

 

 

 

 

From

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Gross

 

 

lbs.

To

 

 

 

 

 

 

 

 

 

Tare

 

 

lbs.

Price

 

 

 

 

 

 

 

 

Net

 

 

 

 

lbs.

Amt.

 

 

 

 

 

 

 

 

 

 

 

 

On

 

Off

 

 

 

 

 

 

 

Weigher

 

 

 

Fairbanks Cat. 083452 (SJ-351A)

Printed in U.S.A.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SIZE 17/8 x 4 INCHES

Carbon Coated Back Papers, Blotter, Wraparound Binding, Tear-Off Flap

FORM NO.

ALT. FORM NO.

PARTS

#’D

1,000

1,500

2,000

2,500

5,000

10,000

 

 

 

 

 

 

 

 

 

 

SJ-351A

083452/16287

2+Flap

 

64.70

97.05

129.40

161.50

227.00

454.00

SJ-351A

083452

2+Flap

#

78.00

117.00

156.00

195.00

294.00

587.00

SJ-351T

083431/96732

3

 

67.20

100.65

134.20

167.50

235.50

471.00

SJ-351TA

083453/96734

3+Flap

 

69.90

104.70

139.60

174.50

245.00

490.00

SJ-351TA

083453

3+Flap

#

83.20

124.80

166.20

207.75

312.00

623.00

• SIZE 13/4 x 51/2 INCHES

Carbon Coated Back Papers, Blotter, Wraparound Binding, Tear-Off Flap

FORM NO.

ALT. FORM NO.

PARTS

#’D

1,000

1,500

2,000

2,500

5,000

10,000

 

 

 

 

 

 

 

 

 

 

5A

20908253/96719

2+Flap

 

80.70

121.05

161.20

191.00

283.50

484.00

7A

20908254/96721

3+Flap

 

96.80

145.05

184.20

207.00

320.50

547.00

7A

HOWE/96722

3+Flap

#

122.20

181.50

210.80

240.25

387.00

681.00

FORM 500

Weighed on CARDINAL Scales

 

 

 

 

 

 

 

Date

 

 

To

 

 

 

 

 

 

 

 

 

 

 

 

Gross

 

From

 

 

 

 

 

 

 

 

 

 

 

 

Material

 

 

 

 

 

 

 

 

Tare

 

Driver

 

 

 

On

 

 

Off

 

 

Net

 

Weigher

 

 

Ticket No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SIZE 17/8 x 51/2 INCHES

Carbon Coated Back Papers, Blotter, Wraparound Binding, Tear-Off Flap

FORM NO.

ORIGINAL

PARTS

#’D

1,000

1,500

2,000

2,500

5,000

10,000

 

 

 

 

 

 

 

 

 

 

500

CARDINAL

3+Flap

 

124.00

162.60

205.80

234.00

374.50

655.00

Page 12

Prices subject to change without notice

www.scaletickets.com

LIVESTOCK TICKET - SIZE 13/4 x 6 INCHES

Carbon Coated Back Papers, Blotter, Wraparound Binding, Tear-Off Flap

FORM NO.

PARTS

#’D

1,000

1,500

2,000

2,500

 

5,000

10,000

 

 

 

 

 

 

 

 

 

H-101TA

3+Flap

#

107.60

153.15

198.80

244.25

471.50

927.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RAILROAD TICKET - SIZE 17/8 x 4 INCHES

Carbon Coated Back Papers, Blotter, Wraparound Binding, Tear-Off Flap

 

FORM NO.

ALT. FORM NO.

PARTS

#’D

1,000

 

1,500

 

2,000

2,500

5,000

10,000

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

T-147A

083554/96745

2+Flap

 

65.90

 

98.70

131.80

164.50

231.50

463.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FRONT

BACK

AUTO DUMP TICKET - SIZE 13/4 x 51/2 INCHES

Back Printing on Last Part

Pasted Binding, Right Side

FORM NO.

ALT. FORM NO.

PARTS

#’D

1,000

1,500

2,000

2,500

5,000

10,000

 

 

 

 

 

 

 

 

 

 

192

083780/96765

 

 

147.50

202.35

238.60

275.00

456.50

819.00

Page 14

Prices subject to change without notice

www.scaletickets.com

Quality Continuous Pin-Feed Stock Forms

SIZE LISTED IS WIDTH X DEPTH (I.E. 9 1/2 (W) X 11 (D))

All Stock Forms are Blank – with Marginal Perforations

of 1/2” Left Hand and 1/2” Right Hand Sides.

BLACK IMAGE CARBONLESS

SIZE 91/2 x 11

QTY/CTN

 

 

Product Code 1500

2,700

1-PART

White Bond

Product Code 2912

1,600

2-PART

White, Canary

Product Code 2913

1,050

3-PART

White, Canary, Pink

Product Code 2914

800

4-PART

White, Canary, Pink, Gold

SIZE 91/2 x 51/2

QTY/CTN

 

 

Product Code 1710

5,400

1-PART

White Bond

Product Code 2922

3,200

2-PART

White, Canary

Product Code 2923

2,100

3-PART

White, Canary, Pink

Product Code 2924

1,600

4-PART

White, Canary, Pink, Gold

SIZE 91/2 x 32/3

QTY/CTN

 

 

Product Code 1730

8,000

1-PART

White Bond

Product Code 2932

4,800

2-PART

White, Canary

Product Code 2933

3,150

3-PART

White, Canary, Pink

Product Code 2934

2,400

4-PART

White, Canary, Pink, Gold

SIZE 91/2 x 7

QTY/CTN

 

 

Product Code 1830

2,700

1-PART

White Bond

Product Code 2952

1,600

2-PART

White, Canary

Product Code 2953

1,050

3-PART

White, Canary, Pink

SIZE 91/2 x 31/2

QTY/CTN

 

 

Product Code 1840

5,400

1-PART

White Bond

Product Code 2962

3,200

2-PART

White, Canary

Product Code 2963

2,100

3-PART

White, Canary, Pink

 

For custom printed continuous scale tickets contact

Page 16

our customer service representatives at 800-234-5999

Notes:

1008 North 16th Street Omaha, Nebraska 68102

(402)342-3688800-234-5999

(402)342-4380 Fax

www.scaletickets.com

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