%-----------------------------------------------------------------------
%	DURC Firearms Removal Order Application Form
%-----------------------------------------------------------------------
%	RemovalOrderForm.tex
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%	$Date$
%	$Revision$
%	$State$
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\documentclass[a4paper,12pt,twoside]{scrartcl}
\usepackage{wasysym}
\usepackage{scrpage}
\usepackage{charter}
\usepackage[dvips]{graphicx}
\usepackage[dvips]{color}
%\usepackage[light,all]{draftcopy}
\usepackage{setspace}

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\begin{document}

\begin{minipage}{\textwidth}
	\begin{centering}
		\begin{minipage}[b]{2.5in}
			{\includegraphics{/home/dennehym/DURC/Graphics/durc/durc.eps} \\[2mm] 
			\sf Dublin University Rifle Club \\}
		\end{minipage}
		\hfill
		\begin{minipage}[b]{3in}
			\begin{raggedleft} {\sf %
			Dublin University Rifle Club \\
			c/o DUCAC \\
			Trinity College Dublin \\
			Dublin 2 \\ 
			Ireland \\
			}
			\end{raggedleft}
		\end{minipage} 
		{\center \Huge \sf \textbf{Removal Order Application }}
	\end{centering}
\end{minipage}
\\[2mm]

\sf 

\doublespacing

I, \rule[-0.05in]{2in}{0.005in} hereby apply for a Removal Order to \\
authorise \rule[-0.05in]{4in}{.01in} of D.U.R.C. \\
to use/have in his/her possession the following Rifles and Ammunition \\
at \rule[-0.05in]{5in}{.01in}  \\
on (dates) \rule[-0.05in]{2in}{.01in} 

\singlespacing

{\small %
\begin{center}
\begin{tabular}{lcrl}
\multicolumn{3}{l}{\bf \sf .22 calibre Target Rifles} \\
\cline{1-3}
Walther KK200	&	&	011301	&	\fbox{\rule[.05in]{0mm}{1mm} \rule[.05in]{1mm}{0mm}}	\\
Anschutz 1913	&	1	&	179384x	&	\fbox{\rule[.05in]{0mm}{1mm} \rule[.05in]{1mm}{0mm}}\\
	&	2	&	175137x	&	\fbox{\rule[.05in]{0mm}{1mm} \rule[.05in]{1mm}{0mm}}\\
	&	4	&	1346313	&	\fbox{\rule[.05in]{0mm}{1mm} \rule[.05in]{1mm}{0mm}}\\
	&	7	&	135852	&	\fbox{\rule[.05in]{0mm}{1mm} \rule[.05in]{1mm}{0mm}}\\
	&	8	&	125738	&	\fbox{\rule[.05in]{0mm}{1mm} \rule[.05in]{1mm}{0mm}}\\
	&	9	&	129062	&	\fbox{\rule[.05in]{0mm}{1mm} \rule[.05in]{1mm}{0mm}}\\
	&	10	&	172895x	&	\fbox{\rule[.05in]{0mm}{1mm} \rule[.05in]{1mm}{0mm}}\\
	&	11	&	173313x	&	\fbox{\rule[.05in]{0mm}{1mm} \rule[.05in]{1mm}{0mm}}\\
	&	&	&	\fbox{\rule{0mm}{4mm} \rule{0.5in}{0in} }	~rounds of .22 calibre ammunition \\
\multicolumn{3}{l}{\bf \sf .177 calibre Air Rifles}\\
\cline{1-3}
Feinwerkbau 601 &	Q	&	99983	&	\fbox{\rule[.05in]{0mm}{1mm} \rule[.05in]{1mm}{0mm}}\\
	&	R	&	24743	&	\fbox{\rule[.05in]{0mm}{1mm} \rule[.05in]{1mm}{0mm}}\\
	&	S	&	119439	&	\fbox{\rule[.05in]{0mm}{1mm} \rule[.05in]{1mm}{0mm}}\\
	&	T	&	109111	&	\fbox{\rule[.05in]{0mm}{1mm} \rule[.05in]{1mm}{0mm}}\\
	&	V	&	99752	&	\fbox{\rule[.05in]{0mm}{1mm} \rule[.05in]{1mm}{0mm}}\\
Feinwerkbau 603	& & 312234 &	\fbox{\rule[.05in]{0mm}{1mm} \rule[.05in]{1mm}{0mm}}\\
	&	&	&	\fbox{\rule{0mm}{4mm} \rule{0.5in}{0in}}	~air rifle pellets \\
\end{tabular}
\end{center}
}


\onehalfspacing

\begin{tabular}{rl}
\fbox{\rule{0mm}{2.5mm}\rule{2.5mm}{0mm}}	&	To be collected by \rule{1in}{.01in} on \rule{1in}{.01in} \\
\fbox{\rule{0mm}{2.5mm}\rule{2.5mm}{0mm}}	&	Please Post. \\[5mm]
\end{tabular}



\begin{raggedleft}
Signed: \rule[-0.075in]{3in}{.01in}
\end{raggedleft}

\end{document}
