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youWtoLolc isa e <br />2500 39th Ave. N.E. #242 <br />Minncaoplis Mn. 55421 <br />(612) 781 -1841) <br />This is to state that <br />has participated in <br />. /0, /994/ <br />Statement of Participation <br />itudin ant/it/2_ <br />/7/7a444 9.4 Auh4- on <br />and received . contact hours. <br />Instructor <br />1 jt /72 tJ,rn741- <br />9, io• 9y <br />Page 62 <br />