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Bitmap Image  |  1994-02-10  |  15KB  |  534x299  |  4-bit (5 colors)
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OCR: Additional Information Address Telephone Numbe Federated Insurance 207 232 0008 1800 2nd Ave Seattle, WA 99000 Contact Person Acct 3839 2893-12 Mr. Johnson Account Number 3839 -2983-12 OK Cancel Help