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    Republic of The Philippines: City of Antipolo Office of Public Safety and Security

    Uploaded by

    Arjay Ocampo Mayores
    This document is a blank form for recording gasoline receipts from the Office of Public Safety and Security in Antipolo City, Rizal, Philippines. It includes fields to record the fleet card number, card holder, vehicle plate number, date and time of purchase, gauge/odometer reading before and after filling up, quantity of gasoline purchased, amount paid, invoice number, and signatures of the preparer, reviewer, and receiver.

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    Republic of The Philippines: City of Antipolo Office of Public Safety and Security

    Uploaded by

    Arjay Ocampo Mayores
    9 views2 pages
    This document is a blank form for recording gasoline receipts from the Office of Public Safety and Security in Antipolo City, Rizal, Philippines. It includes fields to record the fleet card number, card holder, vehicle plate number, date and time of purchase, gauge/odometer reading before and after filling up, quantity of gasoline purchased, amount paid, invoice number, and signatures of the preparer, reviewer, and receiver.

    Original Description:

    FREE

    Original Title

    Gasoline Recipt Form

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    This document is a blank form for recording gasoline receipts from the Office of Public Safety and Security in Antipolo City, Rizal, Philippines. It includes fields to record the fleet card number, card holder, vehicle plate number, date and time of purchase, gauge/odometer reading before and after filling up, quantity of gasoline purchased, amount paid, invoice number, and signatures of the preparer, reviewer, and receiver.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    9 views2 pages

    Republic of The Philippines: City of Antipolo Office of Public Safety and Security

    Uploaded by

    Arjay Ocampo Mayores
    This document is a blank form for recording gasoline receipts from the Office of Public Safety and Security in Antipolo City, Rizal, Philippines. It includes fields to record the fleet card number, card holder, vehicle plate number, date and time of purchase, gauge/odometer reading before and after filling up, quantity of gasoline purchased, amount paid, invoice number, and signatures of the preparer, reviewer, and receiver.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    of 2

    Republic of the Philippines

    Province of Rizal
    CITY OF ANTIPOLO
    OFFICE OF PUBLIC SAFETY AND SECURITY
    M.L. Quezon Street, Brgy. San Roque
    Antipolo City 1870

    List of Gasoline Receipt


    Fleet Card Number: ________________________
    Card Holder: ______________________________
    Plate No: _________________________________
    Date /
    Time

    Gauge / Odometer
    Reading

    Quantity

    Amount

    Invoice
    No.

    Prepared By:

    Noted By:

    _________________________

    Arjay O. Mayores, R.C.


    Logistics Officer

    RITY

    Receive By: Date &


    Time

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