DALA GAS SERVICE 294917

EQUIPMENT RETURN VOUCHER 92949174000001 Form No: LPG6

DISTRIBUTOR DETAILS SAP CODE: 294917 PLANT DETAILS

DALA GAS SERVICE SAP Plant Code : 1271

INDIAN OIL DISTRIBUTOR LPG BP -Jalandhar
GURDASPUR
143521

AC4 NO. 689996533 ERV NO.

AC4 DATE 29/08/2016
Truck No. ERV DATE
PB08CH6122 29/08/2016
AC4 Plant 1271 Truck No.
PB08CH6122

Receipt Date/Time at Godown 29/08/2016 Remarks

Driver Name SINGH
Driver's Remarks NA
Driver's Signature

AC4 PARTICULARS ERV PARTICULARS

Return Qty 1way Qty Qty Safety Safety
Eqpmnt Slno QEq Code Return Desc Quantity
Code Sent qty Short Def Caps Caps
14.2 DNSC 0 200 200 0 0 300 1 19 E 0 0 0

14.2 WS 0 88 88 0 0 300
2 14.2 DNSC E 0 0 0
19 0 12 12 0 0 300

3 14.2WS E 0 0 0

Dispatcher's Details From Distributors Remarks By Receiving Location :

Name of
Distributor/Representative
with sign

Transporter's Remarks TallyMan's Name

Transporter's Sign TallyMan's Sign

No. of Copies:7 (1=Loc,2=Transporter,3=Dist,4=Tpt Bill,5=Dist Shift Officer's Name
Ack
Copy,6=EMR) Shift Officer's Sign

Certified By :
Printed On : 30/08/2016 13.38.08