Name: Abu Khabab
Substance: Mazout ( ) Gasoline ( ) [this one is ticked, with ‘regular’ added in handwriting]
Quantitiy: 47.36 litres x 550 [Syrian pounds]
Sum in writing: Twenty-six thousand and fifty none other.
Date: 29 Rabi’ al-Thani 1437 AH
Name and signature of worker: