|
. . . . . . . . . . . barrels of fuel oil |
|
. . . . . . . . . . . gallons of lubricants |
|
. . . . . . . . . . . pounds of grease |
|
. . . . . . . . . . . other consumable goods |
| Dated . . . . . . . , 19. . . |
|
| |
. . . . . . . . . . . . . . . . . . . . . .
Name |
| |
. . . . . . . . . . . . . . . . . . . . . .
Office or Title |