sl tkt EqRV2U .pdf

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Section 1: Detach - This is your copy
Customer Service: enquiries@e-go.com.au

Sender:

Sarah Bell;
23 Brooker Avenue

Phone:
Instructions:

BEACON HILL
0412345876

Hdollar online
27/11 romford Rd,

Receiver:

KINGS PARK
0411279377

2100

2148

S
Y

Date:
Item Description:
Item Reference:
1 of 1 items

01/02/2016
Carton
Total dead weight:

23 kg

Consignment Note:
Service:

XX798067

Item dead weight:

23 kg

Road Freight *** ATL ***
Charge: ECNSW

D

S
E
N
D
E
R
S
C
O
P
Y

I hereby declare that this shipment does not contain dangerous goods. Subject to the Terms and Conditions of contract and the Carrier's Proposal of Rates and
Services, please accept the goods described above for delivery. WE ARE NOT A COMMON CARRIER.
Sender's Signature:

Section 2: Attach to the item
Customer Service: enquiries@e-go.com.au

Sender:

Sarah Bell;
23 Brooker Avenue

Phone:
Instructions:

BEACON HILL
0412345876

Hdollar online
27/11 romford Rd,

Receiver:

KINGS PARK
0411279377

2100

2148

S
Y

Date:
Item Description:
Item Reference:
1 of 1 items

01/02/2016
Carton
Total dead weight:

23 kg

Consignment Note:
Service:

XX798067

Item dead weight:

23 kg

Road Freight *** ATL ***
Charge: ECNSW

D

R
E
C
E
I
V
E
R
S
C
O
P
Y

I hereby declare that this shipment does not contain dangerous goods. Subject to the Terms and Conditions of contract and the Carrier's Proposal of Rates and
Services, please accept the goods described above for delivery. WE ARE NOT A COMMON CARRIER.
Sender's Signature:

PROOF OF DELIVERY COPY
Leave this section loose. Do not tape or glue down. The delivery driver will use this to obtain a signature from the receiver.
Section 3
Customer Service: enquiries@e-go.com.au

Sender:

Phone:
Instructions:

Date:
Item Description:
Item Reference:
1 of 1 items

Sarah Bell;
23 Brooker Avenue
BEACON HILL
0412345876

Receiver:

Hdollar online
27/11 romford Rd,
KINGS PARK

2100

2148

0411279377

Consignment Note: XX798067
Service:
Road Freight

01/02/2016
Carton
Total dead weight:

23 kg

Item dead weight:

*** ATL ***

23 kg

Items Received in Good Order and Condition:

(Please Print Surname)

(Receiver's Signature)
WE ARE NOT A COMMON CARRIER

(Date and Time)

ATL: DELIVERY DRIVER MUST NOTE A DESCRIPTION OF WHERE THE ITEM(S) ARE LEFT


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