Discrimination Form (Responses)
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TimestampWhat is the name of the business or establishment?What is the address?What is the phone number?DateAny other information you'd like to share?
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3/30/2015 8:55:45Big Apple BagelsBrownsburg, Indiana3/29/2015Found on Facebook
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3/30/2015 16:21:11Via Marketing
http://www.viamarketing.net
219-769-22993/30/2015
Owned by the author of the law.
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Form Responses 1