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Date:______________________________

BARYA:__________________
PESO
LITER
PREMIUM : _________________
____________
DIESEL
:__________________
____________
DIESEL
:__________________
____________
PREMIUM :__________________
____________
Total :
P. Reading :_________________________
Total :
Calibration:_________________________
SALES
:
A/R :_________________________
CASHSALE :
BARYA
:_________________________
SALES

CALIBRATION:
PREMIUM 1: _______________
DIESEL 1
:_______________
DIESEL 2
:_______________
PREMIUM 2:_______________
TANK MEASUREMENT:
AM
PM
PREMIUM1:____________
____________
DIESEL
:_______________
____________
PREMIUM 2:____________
____________
VALE :__________________
NAME

AMOUNT

SIGNATURE

:_________________________

COLLECTION:________________________

EXPENSES: ______________

Expenses :_________________________
VALE :_________________________
REMIT
:_________________________
TOTAL
:
CASH :_________________________
Diff. :

Premium

Diesel

Premium

T
Y
Premium1

Diesel 1

Diesel 2

Premium 2

Total:

PAUTANG:

Premium 1

Diesel

Premium 2

TANK
PUMP
Difference

Remit :___________________
NAME

AMOUNT

COLLECTION: ________________________

SALES: ______________

DENOMINATION
START
END
1000
500
200
100
50
10
5
1
.25
TOTA
L

CASHIER:____________________

SIGNATURE

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