Delivery Receipt
To:
Make, Model & Description of Goods ________________________________________________
______________________________________________________________________________
Regn No: ____________ Engine No: _______________ Chassis or Serial No: _______________
We confirm that we have examined the Goods described in the Vendor’s Invoice and Certificate of
Declaration dated ________________ duly signed by ___________________________________
and that the same is in good order and condition, and to our satisfaction in every respect and that
we have taken delivery of the Goods at this date.
We hereby further acknowledge and confirm that the Goods are second-hand and we undertake to
transfer the Goods into your Company’s name and to maintain it in good working condition at our
own expense.
DEALER (RUBBER STAMP): ____________________________
Address: ____________________________________________
____________________________________________________
Date: _______________________
BLK/GBB/02/JUL/08