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Unit No:

‫الشركة الوطنية للحفريات والخدمات ش ش م‬ 76


National Drilling & Services Co. L.L.C
Date:

Fuel Issues Form Time:

NDSC Vehicle Yes No

Vehicle No Kilometer Reading

A) Meter Reading Befor Filling

B) Meter Reading After Filling

Driver Name Quantity Issued


Name & Signature ( Driver) Name & Signature (Chief Mechanic) Name & Signature (Unit Manager)

MNT-PR-068-FM-01-01

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