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Khairunnisa

Staff Report Form

Khairunnisa
Apr 21st, 2018
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  1. [divbox=white][center][img]https://s13.postimg.org/ehtu1204n/SAMD.png[/img][/center]
  2. [center][u][size=150]Los Santos Emergency Medical Services[/size][/u][/center]
  3. [center][size=100][b][color=#0000FF]STAFF REPORT OUT OF CHARACTER[/color][/b][/size][/center]
  4. [hr][/hr]
  5. [list]
  6. [*][b]Name[/b]:
  7. [*][b]Rank[/b]:
  8. [*][b]Badge Number[/b]:
  9. [*][b]What is the mistake?[/b]:
  10. [*][b]Screenshot (( Evidence )) [/b]:
  11. [/list]
  12. [hr][/hr]
  13.  
  14. [align=right][b]Los Santos, Month/Date/Year
  15.  
  16.  
  17. ((Firstname Lastname))[/b][/align][/divbox]
  18.  
  19.  
  20. [code][divbox=white][center][img]https://s13.postimg.org/ehtu1204n/SAMD.png[/img][/center]
  21. [center][u][size=150]Los Santos Emergency Medical Services[/size][/u][/center]
  22. [center][size=100][b][color=#0000FF]STAFF REPORT OUT OF CHARACTER[/color][/b][/size][/center]
  23. [hr][/hr]
  24. [list]
  25. [*][b]Name[/b]:
  26. [*][b]Rank[/b]:
  27. [*][b]Badge Number[/b]:
  28. [*][b]What is the mistake?[/b]:
  29. [*][b]Screenshot (( Evidence )) [/b]:
  30. [/list]
  31. [hr][/hr]
  32.  
  33. [align=right][b]Los Santos, Month/Date/Year
  34.  
  35.  
  36. ((Firstname Lastname))[/b][/align][/divbox]
  37.  
  38. [/code]
  39.  
  40.  
  41.  
  42.  
  43.  
  44. [divbox=white][center][img]https://s13.postimg.org/ehtu1204n/SAMD.png[/img][/center]
  45. [center][u][size=150]Los Santos Emergency Medical Services[/size][/u][/center]
  46. [center][size=100][b][color=#0000FF]STAFF REPORT IN CHARACTER[/color][/b][/size][/center]
  47. [hr][/hr]
  48. [list]
  49. [*][b]Name[/b]:
  50. [*][b]Rank[/b]:
  51. [*][b]Badge Number[/b]:
  52. [*][b]What is the mistake?[/b]:
  53. [*][b]Screenshot (( Evidence )) [/b]:
  54. [/list]
  55. [hr][/hr]
  56.  
  57. [align=right][b]Los Santos, Month/Date/Year
  58.  
  59.  
  60. ((Firstname Lastname))[/b][/align][/divbox]
  61.  
  62.  
  63. [code][divbox=white][center][img]https://s13.postimg.org/ehtu1204n/SAMD.png[/img][/center]
  64. [center][u][size=150]Los Santos Emergency Medical Services[/size][/u][/center]
  65. [center][size=100][b][color=#0000FF]STAFF REPORT IN CHARACTER[/color][/b][/size][/center]
  66. [hr][/hr]
  67. [list]
  68. [*][b]Name[/b]:
  69. [*][b]Rank[/b]:
  70. [*][b]Badge Number[/b]:
  71. [*][b]What is the mistake?[/b]:
  72. [*][b]Screenshot (( Evidence )) [/b]:
  73. [/list]
  74. [hr][/hr]
  75.  
  76. [align=right][b]Los Santos, Month/Date/Year
  77.  
  78.  
  79. ((Firstname Lastname))[/b][/align][/divbox]
  80.  
  81. [/code]
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