187 lines
10 KiB
PHP
187 lines
10 KiB
PHP
<!doctype html>
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<html>
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<head>
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<meta charset="utf-8">
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<title>Letter</title>
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<meta name="viewport" content="width=device-width, initial-scale=1">
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</head>
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<body style="margin: 0">
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<div style="font-size:12px;line-height: 17px; font-family: Arial, sans-serif; color: #404040;">
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<div style="width: 100%; margin: auto;">
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<div>
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<img style="display: block; height: auto; margin: 0 auto;" src="{{ asset('public/images/pdf/logo.jpg') }}" alt="logo" width="700" height="34">
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</div>
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<div>
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<div style="margin-top: 16px;">
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<p style="margin: 0;">To,</p>
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<p style="margin: 8px 0 0;"><strong>Hospital / Centre Name:</strong> {{ $certificate?->hospital?->name }}</p>
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<p style="margin: 8px 0 0;"><strong>City:</strong> {{ $certificate?->hospital?->city }}</p>
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</div>
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<div style="margin-top: 24px;">
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<p style="margin: 0;"><strong>Subject: Request for Jain Health Care [JHC] Benefit as per the
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Agreement</strong></p>
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<p style="margin: 8px 0 0;">Dear Sir/Madam,</p>
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<p style="margin: 8px 0 0;">We request and recommend Jain Health Care (JHC) benefits for the following
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patient who belongs to our community.</p>
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</div>
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<div style="margin-top: 16px;">
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<table style="width: 100%;border-collapse: collapse;" cellspacing="0" cellpadding="0">
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<tr>
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<td style="font-weight: 600;border:solid 1px #404040; vertical-align: top;padding:6px 8px;width: 28%;">
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Patient's Full Name
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</td>
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<td style="border:solid 1px #404040; vertical-align: top;padding:6px 8px;">
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{{ $certificate?->full_name }}
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</td>
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</tr>
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<tr>
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<td style="font-weight: 600;border:solid 1px #404040; vertical-align: top;padding:6px 8px;width: 28%;">
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Aadhar Card No.
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</td>
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<td style="border:solid 1px #404040; vertical-align: top;padding:6px 8px;">
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{{ $certificate?->aadhar_card_number }}
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</td>
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</tr>
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<tr>
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<td style="font-weight: 600;border:solid 1px #404040; vertical-align: top;padding:6px 8px;width: 28%;">
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Cell No.
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</td>
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<td style="border:solid 1px #404040; vertical-align: top;padding:6px 8px;">
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{{ $certificate?->user?->mobile }}
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</td>
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</tr>
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<tr>
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<td style="font-weight: 600;border:solid 1px #404040; vertical-align: top;padding:6px 8px;width: 28%;">
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Treatment
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</td>
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<td style="border:solid 1px #404040; vertical-align: top;padding:6px 8px;">
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{{ $certificate?->medical_problem }}
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</td>
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</tr>
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<tr>
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<td style="font-weight: 600;border:solid 1px #404040; vertical-align: top;padding:6px 8px;width: 28%;">
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Issue Date & Time
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</td>
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<td style="border:solid 1px #404040; vertical-align: top;padding:6px 8px;">
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{{ $certificate?->generated_date }}
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</td>
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</tr>
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<tr>
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<td style="font-weight: 600;border:solid 1px #404040; vertical-align: top;padding:6px 8px;width: 28%;">
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Expiration Date & Time
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</td>
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<td style="border:solid 1px #404040; vertical-align: top;padding:6px 8px;">
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{{ $expireDate ?? '-' }}
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</td>
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</tr>
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<tr>
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<td style="font-weight: 600;border:solid 1px #404040; vertical-align: top;padding:6px 8px;width: 28%;">
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Request No
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</td>
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<td style="border:solid 1px #404040; vertical-align: top;padding:6px 8px;">
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{{ '#'.requestNumberFormat($certificate->id) }}
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</td>
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</tr>
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</table>
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</div>
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<div style="margin-top: 16px;">
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<p style="margin: 0;"><strong>{{ $certificate?->full_name }}</strong> will present a letter from our Sangh along with a copy
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of their Aadhar card at your administration
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office.</p>
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</div>
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<div style="margin-top: 16px;">
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<table style="width: 100%;" cellspacing="0" cellpadding="0">
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<tr>
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<td colspan="2">Thank you for your cooperation.</td>
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</tr>
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<tr>
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<td style="vertical-align: top;padding: 4px 0;width: 60%;">
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<strong>Shree Mumbai Jain Sangh Sangathan Sangh</strong>
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</td>
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<td style="vertical-align: top;padding: 4px 0;width: 60%;">
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<strong>Shree Evershine Paradise S.M.T Jain</strong>
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</td>
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</tr>
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<tr>
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<td style="vertical-align: top;padding: 4px 0;width: 60%;">
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<img style="display: block; width: 130px; height: auto;" src="{{ asset('public/images/pdf/sing-1.jpg') }}" alt="sign" width="135"
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height="80">
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</td>
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<td style="vertical-align: top;padding: 4px 0;width: 60%;">
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<img style="display: block; width: 130px; height: auto;" src="{{ asset('public/images/pdf/sing-2.jpg') }}" alt="sign" width="135"
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height="80">
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</td>
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</tr>
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<tr>
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<td style="vertical-align: top;padding: 4px 0;width: 60%;">
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<strong>Authorized Signatory Signatory</strong>
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</td>
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<td style="vertical-align: top;padding: 4px 0;width: 60%;">
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<strong>Authorized</strong>
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</td>
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</tr>
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<tr>
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<td style="vertical-align: top;padding: 4px 0;width: 60%;">
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<strong>Mr. Nitin Vora</strong>
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</td>
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<td style="vertical-align: top;padding: 4px 0;width: 60%;">
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<strong>Mr. Bakul Jhaveri</strong>
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</td>
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</tr>
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</table>
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</div>
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<div style="margin-top: 20px;">
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<p style="margin: 0;"><strong>Note:</strong></p>
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<ul style="padding: 0 0 0 14px;margin: 12px 0 0;">
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<li style="font-size: 12px;">This letter is digitally signed & system generated.</li>
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<li style="font-size: 12px;">This letter is valid for 48 hours from the date of issuance.</li>
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<li style="font-size: 12px;">If the treatment is covered under medical insurance, benefits may not be
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applicable.</li>
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<li style="font-size: 12px;">Trust is not responsible for any financial liability related to any
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treatment.</li>
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<li style="font-size: 12px;">The final decision on benefits rests with the hospital management.</li>
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</ul>
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</div>
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<div style="margin-top: 35px;">
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<table
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style="font-size: 11px;line-height: 16px; color: #bd5915;width: 100%; text-align: center; border-collapse: collapse;">
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<tr>
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<td style="padding-right: 8px;vertical-align: top">
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<P style="margin: 0;font-weight: 500;">Shree Mumbai jain Sangh Sangathan</P>
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<p style="margin: 4px 0 0;padding-top: 4px; font-weight: 500;border-top: solid 1px #bd5915;"> Trust
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Registration No.: E-39965
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(M) PAN No. ABDT 50760R URN
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80G :
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ABDT50760RF20221
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</p>
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<p style="margin:4px 0 0;">Regd. Add.: 301/302, krishna Chambers, Plot No.3, 59 New Marine Lines,
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Mumbai 400 026 INDIA</p>
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<p style="margin:4px 0 0;">Email: <a style="color: #03a9f4;"
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href="mailto:srijainsanghathan@gmail.com">srijainsanghathan@gmail.com</a></p>
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</td>
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<td style="padding-left: 8px;vertical-align: top;">
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<p style="margin: 0;font-weight: 500;">Shree Evershine Paradise Shwetamber Murtipujak Tapagachha Sangh
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</p>
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<p style="margin: 4px 0 0;padding-top: 4px; font-weight: 500;border-top: solid 1px #bd5915;">
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Registration No.: E-19926
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(Mumbai) dt. 14.01.2002 PAN : AACT55325G
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</p>
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<p style="margin:4px 0 0;">120, Feet Road, Thakur Village, Opp. Viceroy Court, kandivali(East), Mumbai
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- 400
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101</p>
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<p style="margin: 4px 0 0;">Email: <a style="color: #03a9f4;"
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href="mailto:arhamvasuphujya@gmail.com">arhamvasuphujya@gmail.com</a></p>
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</td>
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</tr>
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</table>
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</div>
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</div>
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</div>
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</div>
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</body>
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</html>
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