HP GAS

KIRAN AGENCIES
COST OF CONSUMER NO. : DGCC BOOK NO. : NAME : ADDRESS :

HP ANYTIME-

24 Hr Refill Booking For Emergency : 9440 640 022 For Complaint : 1800 233 3555

9666023456

HP GAS
KIRAN AGENCIES
COST OF CONSUMER NO. :

HP ANYTIME-

24 Hr Refill Booking For Emergency : 9440 640 022 For Complaint : 1800 233 3555

9666023456

KG CYL. RS. : CASH MEMO :

VAT NO. : 28430131809

KG CYL. RS. : CASH MEMO : ISSUE DT : LAST DELIVERY Dt. : DELIVERY MAN :
VAT NO. : 28430131809

ISSUE DT : LAST DELIVERY Dt. : DELIVERY MAN :

DGCC BOOK NO. : NAME : ADDRESS :

Cylinder returned due to locked door. Kindly contact your dealer.

ORDER NO./DATE DELIVERY DATE/TIME SUBSIDY CONSUMED

: : :

ORDER NO./DATE DELIVERY DATE/TIME

: :

SPECIAL INSTRUCTION :

CUSTOMER COPY Ph : (08742) 224522, 224722, 225222 Timing : 9 a.m. to 5 p.m.

# 11-4-3, Nehru Nagar, KHAMMAM - 507 003.

SUBSIDY CONSUMED : I/We confirm that the fresh refill cylinder was checked for the correct weight & connected in my/our presence and the equipment was tested for leakage to our satisfaction and no liability arises while the equipment is in use with us. NO TIPS PLEASE

DEALER COPY

RECEIVERS SIGNATURE

1. 2. 3.

House was locked. Address was wrong. Not staying. Out of station. No Money. Incorrect Booking No empty Cylinder Other companies cylinder Mechanic service required.

Date_________________________

WE PLEDGE
To provide friendly and courteous service at all times. To provide refills within 24 hrs. 8 a.m. to 8 p.m. refill delivery all 7 days a week.

NOTICE

1. Kindly check cylinder for correct weight and leakage at the time of delivery.
2. For Gas leaks after office hours and on holidays, contact Emergency Service Cell, Refer details in the front. 3. For any further assistance please contact the HP Gas Customer Service Cell on Tel : 08742 - 224522, Cell : 9440640022. 4. Ensure entry of refill delivery details in DGCC Book. 5. It is mandatory to get your installation checked once in 2 years by an authorised mechanic carrying our ID Card. 6. Extinguish all open flames while changing the cylinder or servicing the appliance and Suraksha LPG Hose. 7. Switch off the regulator when not in use. In case the cylinder is not in use for long, replace the safety cap. 8. We have taken 3rd party insurance for the loss of life/property in case of LPG accident. As such, customers are requested to contact us in such an eventuality. 8. Customers are not bound to make purchase of LPG Stoves/Accessories etc., from distributors.

KIRAN AGENCIES KHAMMAM

4. 5. 6. 7. 8. 9.

Customer's Sign _______________

Delivery mans Sign ____________

10. DGCC Book not available