Date:______________________________BARYA:__________________ PESO
LITERPREMIUM : _________________ ____________DIESEL
:__________________ ____________DIESEL :__________________
____________PREMIUM :__________________ ____________Total :P.
Reading :_________________________Total
:Calibration:_________________________SALES:A/R:_________________________CASHSALE
:BARYA:_________________________
SALES :_________________________
COLLECTION:________________________
Expenses :_________________________
VALE:_________________________
REMIT:_________________________TOTAL
:CASH:_________________________Diff.:
PAUTANG:
COLLECTION: ________________________
SALES: ______________
CALIBRATION:PREMIUM 1: _______________DIESEL 1
:_______________DIESEL 2 :_______________PREMIUM
2:_______________
TANK MEASUREMENT:AMPMPREMIUM1:____________ ____________DIESEL
:_______________ ____________PREMIUM 2:____________
____________
VALE :__________________
NAMEAMOUNT SIGNATURE
EXPENSES: ______________
PremiumDieselPremium
T
Y
Premium1Diesel 1Diesel 2Premium 2
Total:
Premium 1DieselPremium 2
TANK
PUMP
Difference
Remit :___________________NAME AMOUNT SIGNATURE
DENOMINATION
START END
1000
500
200
100
50
10
5
1
.25
TOTAL
CASHIER:____________________
