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EFTA00804385
1 IS: INSURED 1 $5,000,000; INSURED 2 $5,000.000. QUESTION 4 ON THE PART 2 IS 6/3/09 FOR ROUTINE CHECK-UP. QUESTION 4 ON THE PART 2 IS MAY 2007 FOR VENIPUNCTURE ONLY. STATEMENT AS TO INSURABILITY CHI This section is Applicable K This section is not Applicable This Statement shall be a part of the applicat
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