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\eengsr).s e_sRiAtiim ,r\ Qee cns +ale% ciris taco, '11A _94ei n S 51.ce St‘s A:00 cow, WI\ •(*ei j:6% p?sleiTi s sloe y'__ 6 3 20 Ol t M e_- -tPi%O gsleerici43 -&zi5roctiA ‘,..521-1Q71_ nske: 'S -51sei_tio% k 2 gn• -h re"--1 - Z./ f A h 7`-A-1 .4.01C 0.ac .4"c Lil i
eck the box if heiust received it, but did not eat it. Place a check in the "Liquids" box each time the person drinks. Thank you. EFTA00043733 EpSian 7C3 --MI i±.2.et-zoicr PrEte -fei.n. 8S-44 .1te War Cie F.L LL --s-• vp y CA- ace,4041 277 MOSZ7 v-An:44, 000 T Et c 1/4 _ekccomes- .
\eengsr).s e_sRiAtiim ,r\ Qee cns +ale% ciris taco, '11A _94ei n S 51.ce St‘s A:00 cow, WI\ •(*ei j:6% p?sleiTi s sloe y'__ 6 3 20 Ol t M e_- -tPi%O gsleerici43 -&zi5roctiA ‘,..521-1Q71_ nske: 'S -51sei_tio% k 2 gn• -h re"--1 - Z./ f A h 7`-A-1 .4.01C 0.ac .4"c Lil i
eck the box if heiust received it, but did not eat it. Place a check in the "Liquids" box each time the person drinks. Thank you. EFTA00045073 EpSian 7C3 --MI i±.2.et-zoicr PrEte -fei.n. 8S-44 .1te War Cie F.L LL --s-• vp y CA- ace,4041 277 MOSZ7 v-An:44, 000 T Et c 1/4 _ekccomes- .
\eengsr).s e_sRiAtiim ,r\ Qee cns +ale% ciris taco, '11A _94ei n S 51.ce St‘s A:00 cow, WI\ •(*ei j:6% p?sleiTi s sloe y'__ 6 3 20 Ol t M e_- -tPi%O gsleerici43 -&zi5roctiA ‘,..521-1Q71_ nske: 'S -51sei_tio% k 2 gn• -h re"--1 - Z./ f A h 7`-A-1 .4.01C 0.ac .4"c Lil i
eck the box if heiust received it, but did not eat it. Place a check in the "Liquids" box each time the person drinks. Thank you. EFTA00045112 EpSian 7C3 --MI i±.2.et-zoicr PrEte -fei.n. 8S-44 .1te War Cie F.L LL --s-• vp y CA- ace,4041 277 MOSZ7 v-An:44, 000 T Et c 1/4 _ekccomes- .
\eengsr).s e_sRiAtiim ,r\ Qee cns +ale% ciris taco, '11A _94ei n S 51.ce St‘s A:00 cow, WI\ •(*ei j:6% p?sleiTi s sloe y'__ 6 3 20 Ol t M e_- -tPi%O gsleerici43 -&zi5roctiA ‘,..521-1Q71_ nske: 'S -51sei_tio% k 2 gn• -h re"--1 - Z./ f A h 7`-A-1 .4.01C 0.ac .4"c Lil i
eck the box if helust received it, but did not eat it. Place a check in the "Liquids" box each time the person drinks. Thank you. EFTA00049743 EpSian 7C3 --MI i±.2.et-zoicr PrEte -fei.n. 8S-44 .1te War Cie F.L LL --s-• vp y CA- ace,4041 277 MOSZ7 v-An:44, 000 T Et c 1/4 _ekccomes- .
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