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7901 Fish Pond Road, 1st Floor Waco, Texas 76710 www.ratliffreadymix.com Phone: (254× 7729992 FAX: (866× 2008564 Certificate of Receipt of DOT Drug and Alcohol Policy This is to certify that I have
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Begin by writing the name and contact information of the person or organization issuing the certificate at the top of the form.
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Below that, provide the name and contact information of the recipient of the certificate.
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Indicate the date on which the receipt is being issued and include a unique receipt number or reference.
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Clearly state the purpose of the receipt, such as acknowledging the receipt of goods, services, or funds.
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Include a detailed description of what is being received, including the quantity, quality, and any relevant details or specifications.
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If applicable, include the value or monetary amount of what is being received, as well as any payment terms or conditions.
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Leave a space for the person or organization issuing the certificate to sign and date it, indicating the acceptance and authenticity of the receipt.
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Provide any additional information or instructions that may be necessary for the recipient or the issuing party.
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Make a copy of the completed certificate for your records before giving the original to the recipient.

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Suppliers, contractors, or service providers may issue a certificate of receipt of to confirm the delivery of their products or completion of their services.
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The certificate of receipt acknowledges that a document or payment has been received.
The recipient or intended recipient of the document or payment is required to file the certificate of receipt.
To fill out the certificate of receipt, the recipient must provide their name, signature, date of receipt, and any other relevant information.
The purpose of the certificate of receipt is to provide proof that the document or payment was received by the intended recipient.
The certificate of receipt must include the name of the recipient, date of receipt, description of the document or payment received, and any other relevant information.
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