Common use of Receipts for equipment Clause in Contracts

Receipts for equipment. (USE ADDITIONAL COPIES AS NECESSARY TO ACCOMMODATE ALL EQUIPMENT) Carrier acknowledges receipt of the following equipment on the date and at the time stated below: Tractor VIN Description (Make/Model/Year) Trailer VIN Tractor VIN Description (Make/Model/Year) Trailer VIN Tractor VIN Description (Make/Model/Year) Trailer VIN Tractor VIN Description (Make/Model/Year) Trailer VIN Carrier’s Authorized Representative (a.m./p.m.) Date Time I have seen, reviewed and received a copy of this Appendix A – Receipt for Equipment. Contractor (a.m./p.m.) Date Time APPENDIX B

Receipts for equipment. (USE ADDITIONAL COPIES AS NECESSARY TO ACCOMMODATE ALL EQUIPMENT) Carrier Xxxxxxx acknowledges receipt of the following equipment on the date and at the time stated below: Tractor VIN Description (Make/Model/Year) Trailer VIN Tractor VIN Description (Make/Model/Year) Trailer VIN Tractor VIN Description (Make/Model/Year) Trailer VIN Tractor VIN Description (Make/Model/Year) Trailer VIN Carrier’s XXX Xxxxxxx’x Authorized Representative (a.m./p.m.) Date Time I have seen, reviewed and received a copy of this Appendix A – Receipt for Equipment. Contractor (a.m./p.m.) Date Time APPENDIX B

Receipts for equipment. (USE ADDITIONAL COPIES AS NECESSARY TO ACCOMMODATE ALL EQUIPMENT) Carrier Xxxxxxx acknowledges receipt of the following equipment on the date and at the time stated below: Tractor VIN Description (Make/Model/Year) Trailer VIN Tractor VIN Description (Make/Model/Year) Trailer VIN Tractor VIN Description (Make/Model/Year) Trailer VIN Tractor VIN Description (Make/Model/Year) Trailer VIN CarrierXxxxxx Xxxxxxxxxx – Operations Manager Xxxxxxx’s Authorized Representative (a.m./p.m.) Date Time I have seen, reviewed and received a copy of this Appendix A – Receipt for Equipment. Contractor (a.m./p.m.) Date Time APPENDIX B