Receiving Record Form

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Receiving Record
Received from:
______________________________________________________________________________
Address:
___________________________________________________________________________________
Purchase Order Number of Returned Goods
Freight bill number
Date
Shipping Via
Prepaid (Details)
Collect (Details)
Quantity
Item Reference number
Description
1
2
3
4
5
6
7
8
9
10
11
12
Remarks / Conditions / Notes:
Number of Packages
Total Weight
Received by
Checked by
Delivered to

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