144 12 X 67 6 9 X 9032 Subtract 2763

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144 12 X 67 6 9 X 9032 Subtract 2763

144 12 X 67 6 9 X 9032 Subtract 2763

144 12 X 67 6 9 X 9032 Subtract 2763

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This letter is to verify that Your Name is under my care and will be unable to work due to an injury illness or other health related reasons 0406 2 Tifa Dan Cendrawasih Ambai

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