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Delivery Ticket

Fill in all boxes below:

Please ask the customer to read, fill in and sign the below declaration before delivery.

Customer Declaration

I, the customer, confirm that the tank ullage has been checked, and there is sufficient room for the quantity and grade ordered. In the event of any spillages or incidents during delivery, I, the customer, will be fully liable and responsible. If I, the customer, am not present to sign the declaration, I authorise the driver/carrier/supplier to continue the delivery on my behalf, I, the customer, accept full liability and responsibility. 
Warning - Gas Oil or Kerosene is not to be used as road fuel.

Tank 1

Before Delivery

Attach 1st Tank Photo
Attach 1st Gauge Photo

After Delivery

Attach 1st Meter Photo

Tank 2

If you have no further deliveries please press here:

Before Delivery

After Delivery

Attach 2nd Tank Photo
Attach 2nd Gauge Photo
Attach 2nd Meter Photo

If you have no further deliveries please press here:

Tank 3

Before Delivery

After Delivery

Attach 3rd Tank Photo
Attach 3rd Gauge Photo
Attach 3rd Meter Photo

If you have no further deliveries please press here:

TOTAL QUANTITY DELIVERED

To be completed after delivery has been made

Anchor 1
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