List all adjustments below. Please include the line number, item number, quantity, reason for
each request, and indicate if there are any items to be picked up by the driver. Use reasons below:

Billed Not Received (BNR)

Received Not Billed (RNB) - please include UPC code of item(s) and indicate whether you want us to pick items(s) up or if you will purchase items(s).

Order Error (OE) - item was misordered.

Damaged Item/Product Quality Issue - please indicate the type of issue; if a quality issue, indicate expiration date and lot number.

Shortdated or Out of Date Product - please indicate date on product.

Other - please explain