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Delivery Receipt Date:_______________ Delivery Receipt Date:_______________

Delivered to_______________________________________ Delivered to_______________________________________
Address _________________________________________ Address _________________________________________
Qty Uni ARTICLES Unit Amount Qty Uni ARTICLES Unit Amount
t Price t Price

Received the above goods in good
order and conditions.
By:__________________________
Customer’s Signature
Received the above goods in good
order and conditions.
Note: This is a temporary Note: This is a temporary
delivery receipt. Our official delivery receipt. Our official
invoice will be issued upon invoice will be issued upon
return of this receipt and
By:__________________________ return of this receipt and
signed by the customer. Customer’s Signature signed by the customer.