Vacuum Delivery Note

Delivery Note

BlueHarbor Maritime

Countryside, USA 45678

Phone: 222 555 7777

Email: [email protected]

Date: 10/28/2050

DELIVERY NOTE No. BCJ2050-03421

Deliver to:

456 Pine Road, Building 3C,

Miami, FL 33101, USA

Item Description

Quantity

Delivery Date

Vacuum

1

10/30/2050

Payment terms: Net 30 days

Please confirm receipt of this note by signing and dating it and returning it to the sender.

Signature: __________________________________

Date: _______________

Thank you for your patronage!

- Sarah Johnson

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