Material Receipt

Received
From: Date:
Address: Our P.O.
Charges Prepaid:
Phone No.: Charges Collect:
City: For Dept.:
State: Req. No.:
Pin Code: Invoice No.:

Delivered By: Total Packages:

Bill Of Lading: Partial:
Freight Bill: Complete:
Total Weight:
Delivery Mode: Details
Local Delivery:
Prepaid:
Train:
Air:
Road:
Water Ways:

HSN/SAC
Sl No. Item Name Condition Quantity Unit
Code

Total
Terms and conditions: For, Company Name

Authorised Signature
Received By
Name:
Comment:
Date:
Signature:

Delivered By
Name:
Comment:
Date:
Signature: