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FOR VENDING MACHINE REFUND <br />The Information Requested Will Help Us Correct The Trouble <br />Amount Lost: Date: <br />Machine Type: Location: <br />Which Item: (Signed): <br />76ank7ou <br />AVT, Inc. <br />(877) 424.3663 Toll Free (951) 737-1057 <br />FOR VENDING MACHINE REFUND <br />The Information Requested Will Help Us Correct The Trouble <br />Amount Lost: Date: <br />Machine Type: Location: <br />Which Item: (Signed): <br />7hank'You <br />AVT, Inc. <br />(877) 424-3663 Toll Free (951) 737-1057 <br />FOR VENDING MACHINE REFUND <br />The Information Requested Will Help Us Correct The Trouble <br />Company:_ <br />Amount Lost: <br />Machine Type: <br />Which Item: <br />Date: <br />Location: <br />(Signed): <br />7FiankYou <br />AVT, Inc. <br />(877) 424-3663 Toll Free (95I) 737-1057 <br />25A-56 <br />