MANUAL FUEL ENTRY

STORE.....................  OAK GROVE BP     

EMAIL..................... 

RECEIPT DATE.......   (01/01/12)

RECEIPT
TRANSACTION #  ..

CUSTOMER............. 

PRODUCT ................ UNLEADED MID GRADE PREMIUM ULSD DIESEL
GALLONS................    (xx.xxx)
PPG..........................  
RECEIPT TOTAL......  (123.56)

NAME ON RECEIPT.