PRODUCT RECALL RETURN COUPON Traditional Medicinals …

[Pages:1]6 Commerce Crescent, Acton, ON Canada L7J 2X3 T: (519) 853-3511 F: (519) 853-4660

PRODUCT RECALL RETURN COUPON ? Traditional Medicinals Throat Coat Lemon Echinacea Tea 20 Bags

This is to acknowledge receipt of the above referenced recall notification dated April 18, 2018.

Product Details PL Code Description 822405 Traditional Medicinals Throat Coat Lemon Echinacea Tea 20 Bags

UPC

0 3291710159 4

Lot / BB 019 / Feb/2021

Our records show that you have received the above product from us. Please review and acknowledge (X) each statement below:

I have reviewed the attached Recall Letter for Traditional Medicinals Throat Coat Lemon Echinacea Tea 20 Bags and acknowledge the alert, and have reviewed our available inventory for the lot listed in this form.

I have no affected lot of Traditional Medicinals Throat Coat Lemon Echinacea Tea 20 Bags product in our inventory. If checked, skip next question.

I have affected lot of Traditional Medicinals Throat Coat Lemon Echinacea Tea 20 Bags product in inventory and will arrange to destroy product on site.

I hereby certify that I have quarantined the above listed product to prevent use and have arranged destroy of the product.

Please complete, sign, and return this form no later than May 2nd, 2018. (See destroy instructions in accompanying letter ? if no product remains, please fax this form to 519-853-4660 or 1-800-930-9512, or scan and e-mail it to credits@)

This coupon should be completed and returned even if you do not have any units left.

Total Quantity (PL 822405): Store #: Store Name: Store Address: Information provided by: Signature: Title: Date:

Lot Number: 019 BB Feb/2021

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