RECEIPT OF SAFETY MATERIALS
By signing below, I acknowledge that I have received the following safety materials from
Ray-Carroll Fuels, LLC. I also understand that it is my responsibility to read through the
materials provided. I recognize that all members of my family and those living in my home
understand the properties and characteristics of propane; the hazards and risks associated
with the handling and use of propane; the appropriate methods for safely using propane;
and what to do in the event of a propane leak. If I have any questions or need to request additional information, I will contact my Propane Supplier/Driver or the office of Ray-Carroll Fuels, LLC at 816-776-3098.