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RETURNS COLLECTION AUTHORIZATION FORM

NAME OF STORE : ____Choppies Chongwe____________________

PRODUCTS TO BE COLLECTED (LIST BELOW

ARTICLE NUMBER PRODUCT/SKU UoM QTY Unit Cost VALUE REASON FOR RETURNING

6001109218 Dettol hand sanitizer reg 50 Units 09 25.95 233.55 Expired


ML
6001106128586 Dettol wipes fresh 10s 09 23.63 212.67 Expired
6001106224110 Dettol wipes Orig 10s 14 23.63 330.82 Expired
600106227166 Harpic W/S 750 ML Citrus 01 22.95 22.95 Damaged
AUTHORISED BY : _____________________________
SALES AUTHORISED BY DATE
: _____________________________

FINANCE DATE

FOR TRANSPORT OFFICE ONLY

TRANSPORTER : _____________________________
DRIVER : _____________________________ TRUCK REG : _____________________________

ISSUED BY : _____________________________

Note: @vat not exclusive.

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