a
Name
Attach Ticket Here
Application for Annulment
Section A - to be completed in all cases Clock Number Depot Total Amount to be Annulled Machine Problems*
complete one box only*
Date
Number of Tickets to be Annulled Why Annulled
1
Price*
2
3
More (specify) Classification*
£
Driver Error*
Other - please specify*
Section B - must be completed if annulment ticket was not issued immediately! Customer's Name Address
Authorised by
a
Name
Attach Ticket Here
Application for Annulment
Section A - to be completed in all cases Clock Number Depot Total Amount to be Annulled Machine Problems*
complete one box only*
Date
Number of Tickets to be Annulled Why Annulled
1
Price*
2
3
More (specify) Classification*
£
Driver Error*
Other - please specify*
Section B - must be completed if annulment ticket was not issued immediately! Customer's Name Address
Authorised by