Reconciliation Worksheet
Origin: Demo CultivationManifest ID: 00000000Date: 9/30/2026
#1 — Blue DreamDEMO-NOT-A-REAL-TAG-001
Expected wt: 500gExpected bags: 2
Bag 1
Bag 2
Total wt:g
Count:
___/2
#2 — Sour DieselDEMO-NOT-A-REAL-TAG-002
Expected wt: 500gExpected bags: 2
Bag 1
Bag 2
Total wt:g
Count:
___/2
#3 — Grape GasDEMO-NOT-A-REAL-TAG-003
Expected wt: 500gExpected bags: 2
Bag 1
Bag 2
Total wt:g
Count:
___/2
Signatures — N.J.A.C. 17:30-9.15(j)(5)
Receiver (required)
Print name: _________________________
Time: _________
Driver / Transporter (optional)
Print name: _________________________
CBIC: ___________