QUEEN CREEK UNIFIED SCHOOL DISTRICT #95
LOCK SHOP
20435 S. ELLSWORTH RD. QUEEN CREEK, AZ 85242
480-987-2293
LOST OR MISSING KEY REPORT
 

DATE

SCHOOL OR BLDG                           ROOM

DESCRIPTION

REQUESTED FOR      LAST NAME              FIRST NAME   M.I.

LAST 4 SSN         PHONE NUMBER          JOB TITLE


KEYS LOST

KEY # LOCATION OR EQUIPMENT OTHER INFORMATION
Fee Schedule for Replacement
File Cab, Desk, etc.  Electronic Key card    
  Vehicle Key, Doors (PER LOCK)
                                           $25.00
Master Key Padlocks         $250.00
Buildin Submaster               $350.00
Building Master                   $500.00
Grand Master                    $1000.00

What Happened :

 

                                                                                    

REQUESTED BY                                                                                                                PRINCIPAL OR SUPERVISOR