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TRUCK DELIVERY RECEIPT

Name of Customer : LOUISE GO TRUCKING SVCS


Consignee : SIMON AGRIBUSINESS CORP.

Destination : SIMON AGRIBUSINESS CORP.

Commodity : Wheat

Truck Id : TATU 178739-8 / NFP 3497

Ex Vessel : MV VITA OLYMPIC-9758882

Weigh In : 07-Jun-2024 21:33

Tare Weight : 12.83

Weight Out : 07-Jun-2024 22:56

Gross Weight : 31.46

Tare Weight : 12.83

Net Weight : 18.63

Vehicle Type : CENAFUELAS, CRISTIAN JAY T

Source (Silo or WH) : WH1_1A

Waybill # / OR # : M1 / ATW Nº 0021206

Control # : 360 BAGS - BFW

Remarks: No BG0035828
.

Trucker / Consignee
Print Name: Sign:

Client Representative
Print Name: Sign:

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