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Partial Delivery Of Goods Agreement
I, _____________ (name) of _____________ (address) _________ (city) _______________ County ______________ (state) acknowledge having received and hereby accept __________ (quantity) ______________ (type of goods) as a partial delivery of a total of ______ (quantity) purchased from ________________ (name) of _________________ (address) _________________ (city) ______________ County _______________ (state) on ____________ (date), for __________ Dollars ($------).
(If applicable, add: The acceptance of the goods described in this instrument is not a waiver of any right of action that buyer may have for breach of warranty or any other cause.)