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TANK CAPS OK YES ❑ NO TANK TAGS OK YES ❑ NO ❑ FLAPPER VALVE OK YES ❑ NO ❑ <br />El'19 MILEAGE s <br />/:5 RT MILEAGE <br />UNLOADING - ' <br />RECEIVED IN GOOD---�{ . LOADING J UNLOADING / <br />CONDITION BY DRIVER -`` DRIVER TOTAL MILEAGE <br />DATE:51 <br />DESTINATION <br />DELIVERY: <br />TIME: i f <br />CUSTOMER'S ORDER NO. <br />EQUIP. �' <br />REMARKS <br />TOTAL DUE <br />-•TEMP.— <br />COMMODITY• <br />• <br />< 1`� <br />s --7 <br />a <br />COMMODITY <br />oftEm <br />m -- <br />;11=121.1m! BILL OF <br />LADIN G PICKED <br />3 <br />UP GALS. <br />AFTER <br />LEFT ON <br />UNLEADED GAS�j'3Sr' <br />UNLEADED PLUS GAS <br />PREMIUM UNLEADED GAS <br />DIESEL <br />TANK CAPS OK YES ❑ NO TANK TAGS OK YES ❑ NO ❑ FLAPPER VALVE OK YES ❑ NO ❑ <br />El'19 MILEAGE s <br />/:5 RT MILEAGE <br />UNLOADING - ' <br />RECEIVED IN GOOD---�{ . LOADING J UNLOADING / <br />CONDITION BY DRIVER -`` DRIVER TOTAL MILEAGE <br />