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Receiving Branch:

Materials Delivery Form

Invoice No: 0001 Customer: Direct Customer Date:

✔	Item	✔	Item	✔	Item

0Total Items

0Total Qty

Sent by:

Name: ____________________________________________

Date: ____________________________________________

Transferred by:

Name: ____________________________________________

Date: ____________________________________________

Received by:

Name: ____________________________________________

Date: ____________________________________________

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