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Reference No 000*******

KONICA COLOUR LAB ll ll \

PS1301405

Photo Studio Registration No

A. JEYAKUMAR

Name With initials

Soar cen se / wr aU Cour

Printed Date

Se feo / otis Ssh

Printed Time

Be emo / AL Onmnb

Photo

Valid tin 2023/10/19

mes 9OE-q Os Fao /

(mein ib...