Name: | Data here ------ |  |  | BARCODE HERE
--- | --- | --- | --- | ---
TRN: | Data here |  |
Contact: | --- | Email | ---- | Date | Invoice Date
Invoice Reference |
Delivery Method and Time |

### Purchase Return Report

Sr# | Product/Service | Qty | Rate | Amount | Discount Amount | Vat Amount | Net Amount
--- | --- | --- | --- | --- | --- | --- | ---

#### Note :
Remarks Here

Store Keeper |  | Procurement Officer |  | Finance Manager |
--- | --- | --- | --- | --- | ---

## * ITS Vehicle Testing and Registration LLC reserves the rights to cancel any purchase order at any time prior to the shipment of the goods or prior to the service and shall not subject to any charges or such fees whatever as a result of such cancellation

Prepared by |  | Print By |  | Date Time |