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| No | Item Code | Item Name | UOM | Ordered | Delivered | Remaining |
|---|---|---|---|---|---|---|
| 1 | FG-001 | Product A - Type X | PCS | 100 | 100 | 0 |
| 2 | FG-002 | Product B - Type Y | PCS | 50 | 50 | 0 |
| 3 | FG-003 | Product C - Type Z | BOX | 25 | 25 | 0 |
| Total Line Items | 3 |
| Total Qty Ordered | 175 |
| Total Qty Delivered | 175 |
| Total Qty Remaining | 0 |
| Prepared By | Checked By | Received By |
| (................................) | (................................) | (................................) |
| Driver / Warehouse Staff | QC / Supervisor | Customer Representative |