Receipt Confirmation for Controlled Substance by JohnAfoa

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									                    Receipt Confirmation For Controlled Substance




        Post:                                             Country:

        Req #:                                            Today’s Date:



                     Items                Description         Qty Ordered          Qty Shipped




      Tracking No.           Date Items    No. of Pkgs.      Shipping Method:
                             Arrived                         APO     DHL POUCH        OTHER


                     NAME AND TITLE OF PERSON REPORTING THIS INFORMATION




                Comments:

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PC-734A (07/2007)

								
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