Checkout for Title V Digital Video Cameras
Print this page, checking to make sure all componentes are included with the camera kit  (Edited 11/02/04ADA)
Have Title V Secretary verify checkout and in.  ***TIME LIMIT 24 HOURS M-T -FRIDAY4:30-MONDAY 8:00***

Please make sure the following is included in the camera kit when checked out: ___A: Camera Bag ___B: Panasonic 2X Optical Zoom Video Camera ___C. Li-on Batetry 800mAh ___D.  Li-on Batetry 2000mAh ___E.  Camera <->Charger connector ___F.   AC Cord & Battery Charger I accept tthat I have picked up the above Camera kit and all components from the Title V  office and accept full responsibility  to pay for any part lost are damaged  while  I have  them checked out. Your Name: ______________________________________ Phone #________________________________ Check out Date ________________________ Title V authorized check out by: ______________________________________ Return Date______________________________ Returned To( Title V person): __________________:

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