SS13 Mining Delivery

[center]Mining Delivery Manifest[/center][hr][small][b]Station Time on delivery:[/b] [i][field][/i]
[b]origin Shipment Number:[/b] [i][field][/i]
[b]Name:[/b] [i][field][/i]
[b]Department:[/b] [i][field][/i]

[b]Material in this shipment:[/b][list]Metal: [i][field][/i]
Plasteel: [i][field][/i]
Glass: [i][field][/i]
Reinforced Glass: [i][field][/i]
Gold Bar(s): [i][field][/i]
Silver Bar(s): [i][field][/i]
Solid Plasma: [i][field][/i]
Uranium: [i][field][/i]
Diamond(s): [i][field][/i]
miscellaneous: [i][field][/i][/list][b]Miners signature:[/b] [i][field][/i]
[b]Signature Of Receipt:[/b] [i][field][/i]