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CFARTERLY 6TRTEMM OF INVFSITORY RDCCNCILIMON <br /> ST()CKTON C'CNTER <br /> 1':04 WEST MAIN STREET <br /> 45964--2 .1000 REGULAR <br /> Si <br /> QUARTER: beginning "� -S <br /> ending 3 /_T— <br /> Daily inventory reconciliation data indicates: <br /> Inventory variations were within allowable limits. <br /> re not <br /> ❑ anvunauthorizedtrel ase to theaenvolrbonment. VariationsVariations <br /> are listed below. <br /> Total <br /> Total <br /> Allowable Actual <br /> Variation variation <br /> Date Form 6-841 column L) (Form 5-84; column I) <br /> 1. <br /> 2. <br /> 3. <br /> 4. <br /> 5. <br /> 6. <br /> (Attach a separate sheet for additional days) <br /> Name of responsible individual (print)` <br /> signature of responsible individual <br /> Telephone Number (facility) �c / `/l3 ,� `,,V-3 <br />