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CUSTOMER <br />r <br />$f` <br />DATE: <br />DESTINATION <br />qao <br />1 ° <br />DELIVERY: <br />CUSTOMER'S ORDER NO. <br />EQUIP.>Q. <br />TIME: f� <br />REMARKS <br />TOTAL DUE <br />GROSSMARKERS <br />• •• <br />• <br />• <br />Iwo- <br />-7-7 f / <br />COMMODITY <br />BILL OF <br />. <br />. <br />•-AFTE R <br />LE FT ON <br />UNLEADED GAS <br />�f <br />1%� <br />QU/77/7 <br />-1f <br />f <br />UNLEADED PLUS GAS <br />PREMIUM UNLEADED GAS <br />DIESEL <br />TANK CAPS OK YESLI NO _ <br />i TANK TAGS OK YES ❑ <br />NO ❑ FLAPPER VALVE OK YES ❑ NO ❑ <br />[ <br />ft END MILEAGE <br />RECEIVED IN9 <br />t <br />f <br />i/ <br />START MILEAGE <br />JJCONDITO <br />DRIVER <br />DRIVER <br />TOTAL MILEAGE <br />wT tom' <br />CUSTOMER <br />