P.G.T.-5 GOODS RECEIPT Counterfoil. (See rule 8 of the Himachal Pradesh Passengers and Goods Taxation Rules, 1957). No. Book No. (To be retained at the booking office). .................................. 1. Registration No. of the Vehicle 2. (a) Full name and address of the Consignor (b) Full name and address of the Consignee 3. (i) Place of dispatch (ii) Destination 4. Description of goods consigned 5. Weight of the goods consigned 6. (i) Freight charged (ii) Tax Signature of Consignor Date Rs. Rs. Total Rs. Signature of Owner Date
