Acknowledgment

I hereby …………………….……………… (………………..) Nationality …………………..................... Iqama No by

…………………………....Acknowledging the Inventory and Cash shortages of SR………………………… Occurred

For shop no ……………………………During my presence on the date of………………………………..Period starting

From ………………………..……Up to …………………..………And the reason the Shortages of the Goods and the

Money during physical counting is following.

1……………………………………………………………………………………………………………………………………………………………

2……………………………………………………………………………………………………………………………………………………………

3……………………………………………………………………………………………………………………………………………………………

4……………………………………………………………………………………………………………………………………………………………

5……………………………………………………………………………………………………………………………………………………………

6……………………………………………………………………………………………………………………………………………………………

Name of Shop In-Charge :

Signature of Shop In-Charge :

Date of Physical Inventory :

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