Whenever the quantity is determined by the seller, every bulk sale in excess of twenty dollars and every bulk delivery of heating fuel shall be accompanied by a delivery ticket containing the following information:
(A) The name and address of the vendor and purchaser;
(B) The date delivered;
(C) The quantity delivered and the quantity upon which the price is based, if this differs from the delivered quantity;
(D) The identity in the most descriptive terms commercially practicable, including any quality representation made in connection with the sale;
(E) The count of individually wrapped packages, if more than one.