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Food Pantry Deliveries
Date
*
Is this a full delivery day or partial delivery day?
Full
Partial
Other
Vicksburg
Both
Dog
Cat
None
Tuscany
Both
Dog
Cat
None
Oakhurst
Both
Dog
Cat
None
Shortstop
Both
Dog
Cat
None
Redeemer
Both
Dog
Cat
None
Adams
Both
Dog
Cat
None
Wilson
Both
Dog
Cat
None
Outreach
Both
Dog
Cat
None
Robinson
Both
Dog
Cat
None
OCS
Both
Dog
Cat
None
St. Stephens
Both
Dog
Cat
None
OMHS
Both
Dog
Cat
None
Second Wind
Both
Dog
Cat
None
Food and Shelter
Number of bags of dog food (if none leave blank)
Food and Shelter
Number of bags of cat food (if none leave blank)
Any other deliveries?
Yes
No
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