Delivery Acknowledgment
DATE: [MONTH/DAY/YEAR]
DELIVERY DETAILS
Delivery Reference Number: [REFERENCE NUMBER]
Delivery Date and Time: [MONTH/DAY/YEAR - HOUR AM/PM]
Delivery Address: [FULL DELIVERY ADDRESS, INCLUDING ZIP CODE]
RECIPIENT DETAILS
Recipient Name: [RECIPIENT’S FULL NAME]
Recipient Contact Number: [RECIPIENT’S PHONE NUMBER]
Date Signed: [MONTH/DAY/YEAR]
ITEM DETAILS
Item Number | Description | Quantity Delivered | Condition |
|---|
[ITEM 1] | [DESCRIPTION] | [QUANTITY] | [GOOD/DAMAGED] |
[ITEM 2] | [DESCRIPTION] | [QUANTITY] | [GOOD/DAMAGED] |
| | | |
DELIVERY PERSONNEL DETAILS
Name of Delivery Personnel: [DELIVERY PERSONNEL’S FULL NAME]
Contact Number: [PHONE NUMBER]
Date Signed: [MONTH/DAY/YEAR]
ADDITIONAL NOTES/REMARKS
[NOTES OR COMMENTS ABOUT THE DELIVERY, SUCH AS DAMAGES, SHORTAGES, ETC.]
ACKNOWLEDGMENT AND ACCEPTANCE
I, [RECIPIENT’S FULL NAME], confirm that the above-listed items were received in the stated condition and quantity.
Recipient Signature: ____________________________
Date: [MONTH/DAY/YEAR]
CONTACT INFORMATION
[YOUR COMPANY NAME]
Address: [YOUR COMPANY ADDRESS]
Phone: [YOUR COMPANY NUMBER]
Email: [YOUR COMPANY EMAIL]
Website: [YOUR COMPANY WEBSITE]
This receipt serves as proof of delivery. Please retain a copy for your records.
Receipt Templates @ Template.net
