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Get Registrants Inventory Of Drugs Surrendered Form

OMB Approval No. 1117 - 0007 PACKAGE NO. U. S. Department of Justice / Drug Enforcement Administration REGISTRANTS INVENTORY OF DRUGS SURRENDERED The following schedule is an inventory of controlled substances which is hereby surrendered to you for proper disposition. FROM Include Name Street City State and ZIP Code in space provided below. See instructions on reverse page 2 of form. DEA-41 6/1986 Pg. 2 grams Subof Containers other units per con .

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