#field(4445)
| Anonymous? | #field(4437) |
| Name | #field(4438) #field(4439) |
| Phone | #field(4440) |
| #field(4441) | |
| Date Occurred | #field(4442) |
| Business Name | #field(4445) |
| Address | #field(4446) #field(4447) #field(4448), #field(4449) #field(4450) |
| Other | #field(4451) |
| Product Weighed | #field(4456) |
| Total Weight | #field(4457) |
| Weight Deduction | #field(4458) |
| Printed Weigh Ticket? | #field(4459) |
| Remote Display? | #field(4460) |
| Saw Actual Weight? | #field(4461) |
| Asked for Reweigh? | #field(4462) |
| Weight in Question Was | #field(4463) |
| Customer Was | #field(4464) |