Laserfiche WebLink
�` E _ � <br />DELIVERY: DATE: A U '° Q <br />_ <br />DESTINATION <br />`� j. r _ <br />TIME: — 00 <br />1 3o <br />CUSTOMER'S ORDER NO. <br />EQUIP N4._ T <br />�Ryy <br />REMARKS <br />I TOTAL DUE <br />•• • ••• <br />-• <br />• •• <br />• <br />• <br />PA <br />V <br />I c q � <br />COMMODITY•.BILL <br />OF <br />BELADING <br />.RE AFTER <br />LEFT IN <br />UNLEADED GAS <br />i I <br />` ^� <br />i aC r <br />'� <br />`"� <br />UNLEADED PLUS GAS <br />PREMIUM UNLEADED GAS <br />DIESEL <br />TANK CAPS OK YES J NO TANK TAGS OK YES NO ❑ FLAPPER VALVE OK YESb NO Cl <br />END MILEAGE <br />START MILEAGE IDD q <br />RECEIVED IN GOOD LOADING �1 ! UNLOADING <br />CONDITION BY DRIVER DRIVER 1+F TOTAL MILEAGE ` <br />CUSTOMER <br />