TRINITY OIL COMPANY LIMITED

UPPF FUEL DELIVERY FORM

UNDERTAKING TO DELIVER Serial No.: TO8211 / 0678

Name of PPMC TRINITY OIL COMPANY LIMITED Retail Outlet Trinity Oil Nkoranza No. 2 LPG
Name

Location Nkoranza Region Bono East

Driver's Name KWAME FRIMPONG Phone Number 0204355312

Name of Transp. TRINITY OIL COMPANY LIMITED Vehicle No. GX201215

Volume 24,570.00 Invoice No. 0678

Product LPG Departure Date 13/12/23

Date of Loading 13/12/23 Expted. Arrival

Date
Loading Depot QUANTUM TERMINALS LIMITED PPMC Sign. &
Stamp

Driver's Sign. Date

CERTIFICATE OF RECEIPT Serial No.: TO8211 / 0678

Recipient Name Okyeso Nyame, Trinity Oil Nkoranza Loading Depot QUANTUM TERMINALS LIMITED
No. 2 LPG

Location Nkoranza Qty. Received

Driver's Name KWAME FRIMPONG Name of Transp. TRINITY OIL COMPANY LIMITED

Vehicle No. GX201215 Product LPG

Volume 24,570.00 Invoice No. 0678

Date of Loading 13/12/23 Arrival Date

Dealer's Name Okyeso Nyame, Trinity Oil Nkoranza Sign. and

No. 2 LPG Stamp

Driver's Sign. Date