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\begin{document}
\begin{center}

{\Large McCombelab Check Out List}\\[5mm]

%% date name room# item
\begin{tabular}{|p{0.5in}|p{1in}|p{0.5in}|p{4.7in}|}\hline %\vspace{-0.1in}
{\large Date} \rule[-2mm]{0mm}{8mm}& {\large Name} & {\large Room} & {\large Item borrowed} \\ \hline
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\end{tabular}
\end{center}
\hfill {\small Get a new form at http://mccombe.physics.buffalo.edu/labforms/}
\end{document}