DATE

PLATE NUMBER
DRIVER
RQNAVARRO TRUCKING HELPER
DELIVERY TRANSACTION REPORT HELPER
DEPARTURE TIME
DR SI COUNTER AREA
RECEIPT
ORIG DUP ORIG DUP W W/ TIME TIME AUTHORIZED
CUSTOMER DR # SI# CS/BG O IN OUT REMARKS
SIGNATURE
 RECEIVED BY:______________________________ DESTINATION:______________________________

GUARD ON DUTY:__________________________ NO.OF CS/BAGS:____________________________ CHECKED BY:_______________