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ri :� L.� T � t► y" �- - <br />DESTINATIONDELIVERY: <br />DELIVERY: DATE: <br />CUSTOMER'S ORDER NO. EQUIP,. TIME: <br />REMARKS TOTAL DUE <br />'• r • •. • • <br />r n ' i -',`0 <br />COMMODITYVOF .. `� <br />UNLEADED GAS f 4�l� oif�is� h d oto li 1F7 -/Ws <br />UNLEADED PLUS GAS <br />PREMIUM UNLEADED GAS > <br />DIESEL v <br />TANK CAPS OK YES ❑ NO TANK TAGS OK YES ❑ NO ❑ FLAPPER VALVE OK YES O NO 0 <br />-a-� END MILEAGE <br />RECEIVED IN GOO[-="" .., P LOADING i ; Y , t . �;:• START MILEAGE <br />CONDITION BY'� x �sri . r UNLOADING i , jj <br />s DRIVER ,✓r:��i DRIVER F, ro✓ TOTAL MILEAGE 4 <br />.� CIJSTnMFR <br />