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Service Event Inventory Report <br /> rF1� F,�fAc.:E1.? Tl�L . Page: 1 of 1 <br /> ENIPsJ �vrc_rs <br /> VP Printed On: 02-15-2016 10: 15 :40 <br /> SV#: rirodrig160215100910 <br /> Customer No. : 30528 <br /> Customer: TARGET <br /> 48021 Waim Springs Blvd Wholesaler: XYZ - NO A (:11VE WHOLESALER Address: <br /> Fremont, CA 94539 NONE LISTED NONE, CA <br /> Phone: (800) 350-0397 DEA: 8T6534348 <br /> DEA # : RE0190188 W/S A/C No. : 12341 Site: TARGET <br /> Job/Call#: None provided <br /> NDC Class Quantity P/F Product Name Manufacturer Strength Size Metric Form Additional Description <br /> r 57664-0185-34 CV I x 701%S *'PROMETHAZINE HCI . & COD CA.RACO PI CAR M. I ,ABS. , 1, 6 .25MG- 10 1 SYR <br /> 00603-2338-21 C111 1 x t FA P ACETAMINOPHEN CODEINE QUzAJ TTEST PRODUCTS_ IN 300 MG-30 100 EA 100 EA TA <br /> -r- i <br /> Authorized Signature <br /> ✓:. <br />