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* 1. School Name (Use Drop-down Box):

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* 2. Enter Delivery Date

Date

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* 3. Discrepancy Item 1

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* 4. Discrepancy Item 2

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* 5. Discrepancy Item 3

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* 6. Discrepancy Item 4

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* 7. Discrepancy Item 5

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* 8. Discrepancy Item 6

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* 9. Discrepancy Item 7

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* 10. Damaged or Other Delivered Item Issues

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* 11. Damaged or Other Delivered Item Issues

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* 12. Damaged or Other Delivered Item Issues

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* 13. Damaged or Other Delivered Item Issues

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* 14. Damaged or Other Delivered Item Issues

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* 15. Damaged or Other Delivered Item Issues

T