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EFTA00555084
CUSTOMER'S DECLARATION of VALUE (60 cents per pound per article) PROTECTION OPTIONS Options $ 0 Deductible $ 250 Deductible $ 500 Deductible Clilaslc Coverage (60 cents per pound per articli TOTAL GUARANTEED PRICE Maximum Level of Cost for Protection Protection $ 6,000 $ 110.00 $ 6,000 $ 76 00 $ 6
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