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Reading Format

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Louie Jee Omambac

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READING FORM

Date:

Premium Beginning Ending Total (L) Price Amount

Pump 1

Pump 2

Pump 3

Pump 4

Calibration

Accounts Receivables

Total

Regular Beginning Ending Total (L) Price Amount

Pump 1

Pump 2

Pump 3

Pump 4

Calibration

Accounts Receivables

Total

Diesel Beginning Ending Total (L) Price Amount

Pump 1

Pump 2

Pump 3

Pump 4

Calibration

Accounts Receivables

Total

Cashier's Printed Name & Signature

READING FORM
Date:

Premium Beginning Ending Total (L) Price Amount

Pump 1

Pump 2

Pump 3

Pump 4

Calibration

Accounts Receivables

Total

Regular Beginning Ending Total (L) Price Amount

Pump 1

Pump 2

Pump 3

Pump 4

Calibration

Accounts Receivables

Total

Diesel Beginning Ending Total (L) Price Amount

Pump 1

Pump 2

Pump 3

Pump 4

Calibration

Accounts Receivables

Total

Cashier's Printed Name & Signature

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