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Acknowledgment Of Delivery



ACKNOWLEDGMENT OF DELIVERY

Date: [Date of notice]


[First Name of person being notified] [Last Name of person being notified]
[Title of person being notified]
[Company of person being notified]
[Address of person being notified]
[City of person being notified], [State of person being notified]
[Zip Code of person being notified]

Dear [Mr./Mrs.] [Last Name of person being notified]:

ACKNOWLEDGMENT OF RECEIPT OF GOODS

The undersigned warrants that [he or she] is the person entitled to delivery of the goods under [warehouse receipt or bill of lading] number [bill of lading number], issued by you and dated [bill of lading date], and here acknowledges the delivery and receipt of the property described in that document and any supplemental list as follows: [Description of Property].

The undersigned further warrants that the goods so received on this date were in apparent good order except as otherwise noted here: [Description of exceptions].

The delivery and receipt of these items constitutes delivery of all goods owned by the undersigned and stored with the bailee except as follows: [Set forth numbers of other outstanding receipts or indicate nature of goods remaining in storage]. Executed: [Date of execution]



Signature