WAREHOUSE RECEIPT
ACCURACY ACKNOWLEDGMENT
_____________________________ (Date)
______________________________ (Name of
warehouseman)
______________________________ (Address)
The undersigned hereby acknowledges receipt from
___________________________ (warehouseman), of
____________________________________________ (address), _________________
(city), _______________ County, __________ (state), warehouse receipt no.
__________________, which covers the property and goods stored by me in
warehouse number __________ at _________________________________ (address),
________________ (city), ________________ County, ____________ (state), on
__________ (date).
(R) I have checked the list of goods on such receipt
and read the terms and conditions on the reverse side of the receipt, and
hereby acknowledge that the description of the goods on the receipt is accurate
and correct.
__________ (Warehouseman) is hereby authorized to
honor delivery orders signed by me or any of the following authorized persons
for all or any part of the property and goods stored under the above-mentioned
receipt. The signatures of the authorized persons are as follows:
1Authorized Parties’ Signatures:
__________________________________________
__________________________________________
__________________________________________
__________________________________________ ____________________
Signature of depositor Date
