itemsreceived

Date _____________Referred by ____________________Customer Number______________

Ebay Services of Texas
Receipt for Item/s Received
www.ebayservicesoftexas.com
Phone 210-824-8677, Fax 210-764-5951, Toll Free 1-877-824-7720

Seller/Company/Name:___________________________________________________________
Address/E-Mail: ________________________________________________________________
Phone Numbers: ________________________________________________________________

Description of Items: ____________________________________________________________
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Model Numbers ________________________________________________________________
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Serial Numbers: ________________________________________________________________
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Quantities: _____________________________________________________________________
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Estimated Values:_______________________________________________________________ _______________________________________________________________________________
If necessary, additional pages for additional items/descriptions/information. Indicate here: Yes / No_____?
Customer Name & Signature ________________________________________Date _________
ESOT Representative Name & Signature ______________________________Date_________