ITEM DESCRIPTION:

Name Supplier/Reference# Price/pc QTY IN

Date Full Name Claim or Pick-up Plate # QTY OUT BALANCE Signature
ITEM DESCRIPTION:

Date Full Name Claim or Pick-up Size QTY IN QTY OUT BALANCE Signature
ITEM DESCRIPTION: Tire 8x11R

Name Supplier/Reference# Price/pc QTY IN

Date Full Name Claim or Pick-up Plate # QTY OUT BALANCE Signature
6/4/2018 Beg. Balance 15 15 Dandy
6/5/2018 Pepanio Yulito 3 12 Yulito
6/8/2018 HH ALL ASIA/Inv 1234 1,500.00 50 62