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EFTA00122765
4-W IT, 47-W ctia 1 IAA FV4Qin r ?stick diw gr, 30 thfr 'N- ,s1-01 ii1Aq-cuo inG\ )1114•0-ein K: YSA-vr ->-. S4W-er4 1/AA --J-ein cicUY) torn Sviciak. ("00-c3, --)-t cite/ -cc 0 6S- s-v,6,4 Note to all observers: Legibly print and sign your name at the beginning of your shift. 7 EFTA00122774
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