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QUEENIE GAS FILLING STATION

Poblacion Parang, Maguindanao

AUTHORITY TO WITHDRAW

To: Supplier: SEAOIL Philippines, Inc. Date/Time: ______________


Ordered: ________________

Attn: Dispatcher on Duty


Tel No.: (082) – 272 – 0277

Please authorize the bearer NONILON CADOTDOT, driver of tank truck with Plate Number
RIA-273 to withdraw the following at the SEAOIL Bulk Depot in Sta. Cruz, Davao del Sur,
under the account of QUENNIE GAS FILING STATION:

Product Unit: Quantity:

DIESEL Liters ___________L


RON 95 Liters ___________L
RON 91 Liters ___________L

Approved by:

Hadji Salik Akmad


Owner

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