Delivery Receipt of Car/Scooter

1 have this............... day of................ taken the delivery of one............. Scooter/car registered bearing Engine No...

Chasis No.............. second hand registered No..............

from Mr.................... in perfect order and condition

as approved after test, the necessary documents relating

to the sale of car as well as the tools and equipment

as per settlement. And in full and final payment

of the above mentioned, car/scooter, I/We

have paid/agreed to pay the sum of US$......... to................

I shall be responsible to pay all further taxes for

which you will not be liable here-in-after this date.

Delivery time........ Remarks.,...............

payment of US$................... has been as follows

by cash/cheque No................... on...............

Place....... ............... Signature.

Date........ ............... Address... .