1NOTE NUMBER AND DATE
Delivery note DN-77120
Delivered: 19 Oct 2026
2SUPPLIER AND CUSTOMER
Supplier: Shire Builders Merchants
Customer: Orchard Developments, Site 4, Exeter
3ORDER REFERENCE
Customer order: OD-3302
4| Item | Qty |
|---|
| Cement, 25 kg bag | 40 |
| Common brick | 200 |
5CONDITION
3 bags split on delivery
6SIGNATURE
Received by: T. Mason, Site Foreman
Signed 19 Oct 2026
7FOLLOW-UP
Credit note to follow for 3 bags
Sample for illustration. Company names, numbers, tax registrations and bank details are fictional.