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P-10 - Pharmacy Act
Schedule
Disposition versions
1
(Repealed)
1
(Section 22)
ŠPOISON SALES REGISTERŠŠ===============================================================ŠDate .Š-------------.-------------------------------------------------ŠName of .ŠPurchaser .Š-------------.-------------------------------------------------ŠAddress of .ŠPurchaser .Š-------------.-------------------------------------------------ŠName and .Šquantity of .Špoison sold .Š-------------.-------------------------------------------------ŠPurpose for .Šwhich poison .Šis required .Š-------------.-------------------------------------------------ŠSignature of .ŠPurchaser .Š-------------.-------------------------------------------------ŠSignature of .Šperson .Šidentifying .ŠPurchaser .Š---------------------------------------------------------------
