GAYATRI GAS COMPANY

KINDLY CHECK CYLINDER FOR CORRECT

WEIGHT AND LEAKAGE AT THE TIME OF DELIVERY

TIN : 28710184600

KINDLY CHECK CYLINDER FOR CORRECT

WEIGHT AND LEAKAGE AT THE TIME OF DELIVERY

Just Dial 96660 23456

FOR HP ANY TIME REFILL BOOKING

DISTRIBUTOR COPY

Email:gayatri.west@hpgas.hpcl.co.in
Tel : 273340, 275853
CUSTOMER COPY
# 7-4-6/4, JOSYULA VARI STREET, NARSAPUR - 534 275. Timing : 8.00 a.m. to 8.00 p.m.

1.

Cylinder has been delivered to Neighbour ____________________

2.

House was locked.

3.

Address was wrong.

4.

Not staying.

5.

Out of station.

6.

No Money.

7.

Still Gas

8.

Not Booked.

9.

Return by Party.

Delivery Man __________________

Customer's Sign _______________

10. No empty Cylinder.

11. Other companies cylinder
12. Mechanic service required.

Delivery Date _________________

RECEIVER'S SIGNATURE

I/We confirm that the fresh refill cylinder was checked for the correct weight &
connected in my/our presence and the equipment was tested for leakage to our
satisfaction and no liability arises while the equipment is in use with us.

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19 kg.
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Just Dial 96660 23456

FOR HP ANY TIME BOOKING

Customers are not bound to make purchase of L.P.G. Stoves/Accessories etc., from L.P.G. Distributor.

Printed by P.N. Kumar, Cell : 98487 67838, 99853 54925

Printed by P.N. Kumar, Cell : 98487 67838, 99853 54925

GAYATRI GAS COMPANY

HP GAS

Just Dial 96660 23456

FOR HP ANY TIME REFILL BOOKING

TIN : 28710184600

HP GAS