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EFTA00054963_sub_001 - EFTA00054963_100
/A Pertinent Information: N/A Separation Information: N/A H01-0011 Special itousing Una Cell Number Inmate is In. is InmateonMedicatIon: N/A Medical Department Nogred: N/A Dale Shd B y —_ Melds tfl SH . Out Out of cell time (Total minnus) — I- Comments Medical Slaff Sign OIC Signature 07-21-2019 MO
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