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(Office Use Only)
Ordering Tapes
Employee: ___________________________________ Date
Ordered from Company _________________________
Please circle: RFB&D or Cleveland Sight (C.S.) Contact
Person: __________________________________________
Shelf #: _____________________________ Book in stock?
Yes or No
Tapes Received
Date tapes received in the office:
_________________________ # of Cassettes: __________________________
Date student contacted: _______________________ Employee:
______________________________________
Date student picked up: _______________________ Date student
returned tapes ________________________
Date returned to RFB&D or C.S.: ______________ Order #
_________________________________________
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I ____________________________________________ have
borrowed the above named tapes from CSP Disability Services
(Student's Name)
and agree to return them at the end of: Spring / Summer /
Fall Semester 200 ___.
____________________________________________
__________________________
(Student's
Signature)
(Date)
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