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Receipt And Acceptance Of Goods
RECEIPT AND ACCEPTANCE OF GOODS
I, [Name of recipient], acknowledge having received and hereby accept delivery of [Quantity] [Type of goods], purchased from [Name of Seller], of [Address of Seller], [City of Seller], [State of Seller], on [Date received], for $ [Purchase price] Dollars.
[If applicable, add: The acceptance of the goods described in this instrument is not a waiver of any right of action that buyer may have for breach of warranty or any other cause.]
Dated:
Signature