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CUSTOMER'S ORDER NO. <br />DATE: <br />DELIVERY: <br />EQUi .K. / T_ TIME: �Gl <br />COMMODITY <br />Z <br />77/ <br />TOTAL DUE <br />UNLEADED GAS 001-71'1-3 7 7/ Z <br />UNLEADED PLUS GAS <br />PREMIUM UNLEADED GAS <br />DIESEL <br />TANK CAPS OK YES ❑ NO _i TANK TAGS OK YES ❑ NO ❑ FLAPPER VALVE OK YES ❑ NO ❑ <br />END MILEAGE ` <br />START MILEAGE' 2 <br />RECEIVED INPPOD - �E4 LOADING j UNLOADING Z;/j <br />CONDITION By DRIVER k l ! DRIVER �� J TOTAL MILEAGE <br />CUSTOMER <br />