Recipient
Delivery To:................................
Address:....................................
TIN:............................................
| Delivery # | 339035 |
|---|---|
| Date | September 28, 2026 |
| Amount Due | $600.00 |
| Item/Code | Particulars | Quantity | Packing Weight | Price |
|---|
+
| Total | $600.00 |
|---|---|
| Amount Paid | $0.00 |
| Balance Due | $600.00 |
Received the above goods in good order and condition
Prepared by:
Name:_____________________________________________ Tel______________________ Sign ________________
Date __________________ Time _______