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OCR
e
e
5
10020
VIGIT CSD 100 J.000
e
I hereby authorize the Custodian of the Patient's Fund
at Letterman General Hospital to deposit at my own risk
in a United States Depository such funds as he may ac-
cept for safe-keeping.
HYWE
HERBERT B WECK CVEI MYC
1
Patient's signature
yearpe
0761 NOT
⑉ grapeq
DOUS
h
LOVE
U.OUT
TIEL OF MONDE YAD ATTOYBTER:
- PS access 196
gebonic 11 1273 old LIFE Course grates may grange
chapping at are kning or to
populs 20 the Rose I sugposite
I coverage (i) 2017 problem accurus our dichorge unge pa
you Longs of edp smaleg (if 91.5 11 with our
not pe qualified AHP 1166 postagen
1 para pacs properting (pro) WII wing gmage (1) in
I3 1000 #
784
or give
KEOILLEK
sug
glow 0.00 VII 10 33166 VN (greate
LOB AvenyBrea
2
HO2BLEVT
8L (rea)
how I10
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Context sent to Scholar
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