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| {\header\qc\plain\f0\fs20\plain\f0\fs20\lang1033\hich\f0\dbch\f0\loch\f0\fs20\b Animal Hospital\plain\f0\fs20\par |
| (555) 555-1212\par |
| \par |
| \ql\plain\f0\fs20\plain\f0\fs20 Anna Smith {\field\fldlock{\*\fldinst MERGEFIELD D}{\fldrslt}} \tab\tab\tab\tab\b Hank\plain\f0\fs20 (44598-55) \tab 10 Yrs. 8 Mos. \ql\par |
| (555) 555-1212\tab\tab\tab \tab\tab 7 pounds Neutered Male \par |
| \tab\tab\tab\tab\tab\tab Canine / Retriever/Golden \par |
| \par |
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