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5610 F1/page 1 of 1NOTIFICATION OF EMERGENCY REMOVALNAME OF STUDENT: ___ GRADE: ___ TIME: ___ DATE: ___ REASON FOR THE REMOVAL: ___ ___ ___ ___ METHOD OF REMOVAL: ___ ___ ___ ___ TO WHOM WAS CUSTODY
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Merrillville Intermediate School is a educational institution that serves students in grades 3-5.
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