DEPARTMENT OF UNFORTUNATE AFFAIRS
OFFICIAL PUBLIC SERVICES PORTAL · FORM FORM-CERT-010
DECLASSIFIED CIVILIAN RELIEF

Free Coffee Reimbursement Form

FORM CODE: FORM-CERT-010 · CLASSIFICATION: Certificates of Questionable Fortune

STATUTORY BENEFIT SPECIFICATION:

"Authorizes reimbursement for free coffee. Reimbursement value: $0.00."

AUTHENTICATED FORTUNE COOKIE SLIP:

"Your complimentary beverage has been audited and valued at nil."

LUCKY NUMBERS: 0 · 0 · 0 · 0 · 0
CLERK #404 ADMINISTRATIVE REMARK:

"Present this at your local café. Let me know if they call security immediately or after reading."

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