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Voucher indemnity statement

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Name and contact details

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I, the above, declare that I have not received any of the goods posted to me by Parking Services. The details of the items that are missing are:

Please declare the name of the person the goods were purchased by and who made a payment to the London Borough of Islington.

This reference number would have been provided with your original voucher purchase.

I promise to refund and/or return the goods in good condition, should they later come into my possession. I will indemnify the London Borough of Islington any loss, financial or otherwise, including any costs the authority may suffer or incur in the event of fraud, theft or irregularity if I am proven to be party to such an act. The authority may also take legal action as appropriate.