FORM RT - 4 (See rule12) PERMIT FORM Toll Post___________ Receipt No._________ 1. Vehicle No. _____________ 2. Name of payee _____________ 3.Name of Consignee___________ 4. Name of goods______________ 5. Weight of goods_____________ 6. Basic Toll__________________ 7. Addl.Toll__________________ 8. Special Toll ________________ 9. Penal Toll _________________ 10.Total _____________________ 11. Date of issue ______________ 12. Time of issue ______________ Sig. of Sub-Inspector FORM RT - 4 (See rule12) PERMIT FORM Toll Post___________ Receipt No._________ 1. Vehicle No. _____________ 2. Name of payee _____________ 3.Name of Consignee___________ 4. Name of goods______________ 5. Weight of goods_____________ 6. Basic Toll__________________ 7. Addl.Toll__________________ 8. Special Toll ________________ 9. Penal Toll _________________ 10. Total _____________________ 11. Date of issue ______________ 12. Time of issue ______________ Sig. of Sub-Inspector
