USA > Indiana > Porter County > Miscellaneous Licenses Porter County, Indiana > Part 13
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BECIZES
..
Form No. 6.
No. 16%
Physician's Certificate.
STATE BOARD OF MEDICAL REGISTRATION AND EXAMINATION OF THE STATE OF INDIANA.
This is to Certify, That, pursuant to the provisions of "An Act regulating. the practice of Medicine, Surgery and Obstetrics ; providing for the issuing of licenses to practice ; providing for the appointment of a State Board of Medical Registration and Examination and defining their duties ; defining certain misdemeanors and providing penalties, and repealing all laws in conflict therewith and certain acts therein specified," approved March 8, 1897, le Banner EM. D.,
of the County of Carteb
post office address is.
Hebron
in the State of Indiana, whose
has made application for a certificate authorizing a license to practice Medicine, Surgery and Obstetrics in said State, and upon evidence presented it appears that he is the legal possessor of a ..
:Sicurisi
issued to the person named therein ; that. .... he has paid the proper fee prescribed by the law and in all other respects complied with said act, and upon the presentation of this Certificate to the Clerk of. Boites County, is entitled to a
license to practice Medicine, Surgery and Obstetrics in the State of Indiana.
IN WITNESS WHEREOF, the said Board of Medical Registration .and Examination has caused this Certificate to be granted and signed by its President and Secretary, and attested by its official seal at Indianapolis, this. day
of
STR
President.
SEAL.
INDIE
AICATION
Secretary.
&VOS.ELVIS
1
BOBLEB
Physician's Application FOR LICENSE.
Cracklin BIBrecord
Applicant.
DIPLOMA CLAUSE.
Date of Diploma,
March '20de 1882
Name of College,
Bennett Eclectic Medical College
File May 2 mde 188 8 S.R. Drapiex
Clerk.
Wm. B .; Burford, Printer, Indianapoli.
PHYSICIAN'S APPLICATION FOR LICENSE.
(DIPLOMA CLAUSE.)
STATE OF INDIANA,
sct:
Porten County,)
Before the undersigned, Clerk of the Circuit Court within and for said County and State, personally appeared Frank B. Brewer _who now makes application for a license to practice medicine, surgery and obstetrics, under an act of the General Assembly of Indiana entitled "An act regulating the practice of medi- cine, surgery and obstetrics, providing for the issuing of licenses to practice, etc.," approved April 11th, 1885, and said applicant being duly sworn, on oath says that .... he is a regular graduate of Bennett Elected Medical College
:
in the State of
Ollimaio
the same being a reputable medical college, and that _he holds a diploma dated March 20ch 1882, duly
issued to how by the proper authorities of said college.
7 thank B Brewer 12
Subscribed and sworn to by said applicant before me this .day of may , 1888
WITNESS my hand and seal of said Court.
JR.Drapier
CLERK.
STATE OF INDIANA,
Pantes
County,)
sct :
The undersigned, Clerk of the Circuit Court within and for said County and State, hereby certifies that the diploma referred to in the annexed application and affidavit was duly exhibited to him by suid affiant at the time such application was made.
WITNESS said Clerk and seal of said Court, this.
may
1888
day of.
muy f. a. Dra
.1 93
CLERK.
1
908
PHYSICIAN'S CERTIFICATE FROM THE
State Board of Medical Registration and Examination
TO
Joy alton Growg . D.
NOTE 1-File this certificate at once with your County Clerk. NOTE 2-The law requires that the license issued on this certificate must be reported by County Clerk issuing same to Indiana Board of Medical Registration and Ex- amination on the first day of January succeeding.
Filed 190 ....
FILED
DEC 1906
Clerk
County.
Clerk, Porter Circuit Court
WM. B. BURFORD PRINT, INDIANAPOLIS.
No.
8492
Reciprocity
Physician's Certificate on Eramination.
THIS IS TO CERTIFY, That, pursuant to the provisions of "An act regulating the practice of Medicine, Surgery, and Obstetrics, providing for the issuing of licenses to practice, providing for the appointment of a State Board of Medical Registration and Examination and defining their duties, defining certain misdemeanors and providing penalties and repealing all laws in conflict therewith and certain acts therein specified," approved March 8, 1897, amended March 3, 1899, March 11, 1901, and March 4, 1905.
Roy alton Brown M. D., of the County of. Parter in the State of Indiana, whose post office address is Bonne brave , has made application for a certificate authorizing a license to practice Medicine, Surgery and Obstetrics in said State, and upon evidence presented by hus it appears that .... .he is the legal possessor of a Diploma issued by the
University of michigan, of an arbor, dated Jime 2.2, 190 5 and a certificate on examination from michigan dated any 8. 1905 the said College being in good standing with this Board, and ....... he has complied with the law in all respects and has taken the examination required by this Board upon the following subjects, vis .:
Anatomy, including Histology and Embryology, Etiology and Hygiene, Physiology, Gynecology, Obstetrics, Medicine, Materia Medica and Therapeutics, Chemistry, Surgery, Pathology and Bacteriology, Medi- cal Jurisprudence, Neurology, Pediatrics, Physical Diagnosis, Ophthal- mology and Otology, Rhinology and Laryngology.
and has obtained the necessary per cent. required on the foregoing branches, and upon the presentation of this certificate to the Clerk of. Parter County, is entitled to a license to practice Medicine, Surgery and Obstetrics in the State of Indiana. IN WITNESS WHEREOF, the said Board of Medical Registration -- and Examination has caused this Certificate to be granted and signed by its President and Secretary, and attested by its official seal at Indianapolis, this. 16 day of november 1906
M.C. Thebesten, m. S.
President.
WIGrott MI? Secretary.
PHYSICIAN'S CERTIFICATE FROM THE State Board of Medical Registration and Examination
TO Bylallahian M.D.
FILED,
OCT 20,3.05 PM 1897 E. L. WILSON CLK. P. C. CT.
Filed
:189
Clerk
County.
wy'n. B. Burford, Printer, Indianapons,
Form No. 6.
No 249
Physician's Certificate.
STATE BOARD OF MEDICAL REGISTRATION AND EXAMINATION OF THE STATE OF INDIANA.
This is to Certify, That, pursuant to the provisions of "An Act regulating the practice of Medicine, Surgery and Obstetrics ; providing for the issuing of licenses to practice ; providing for the appointment of a State Board of Medical Registration and Examination and defining their duties ; defining certain misdemeanors and providing penalties, and repealing all laws in conflict therewith and certain acts therein specified," approved March 8, 1897, 3
of the County of. Portes in the State of Indiana, whose
M. D.,
post office address is.
has made application for a certificate authorizing a license to practice Medicine, Surgery and Obstetrics in said State, and upon evidence presented it appears that he is the legal possessor of a Licence
issued to the person named therein ; that .he has paid the proper fee prescribed by the law and in all other respects complied with said act, and upon the presentation of this Certificate to the Clerk of. Barter County, is entitled to a. license to practice Medicine, Surgery and Obstetrics in the State of Indiana.
IN WITNESS WHEREOF, the said Board of Medical Registration and Examination has caused this Certificate to be granted and signed by its President and Secretary, and attested by its official seal at Indianapolis, this. dlay
of.
189.
President.
6
F, 0,00000 Secretary. .J
FILED. JUL 29, 8.5 4 AM 1896 E. L. WILSON CLK. P. C. CT.
YAATOK 000809
09
State of Allmais Cook County
Personly appeared before me this 25th day of July ax 1896 W. D. Calvin of Riverside Cook County demais who upon
амб. being duly swan, de poses.
says that he is the person named in a diploma ise
to W.D. Calvin as Doctor of Medicine by Ruch Medical College of the City of Chicago Country of Cook and State of allmais on the 22 nd day of May a. D. 1895. an witness whereat he has hercunt placed his hand and scal
Geral Ca
State of Illmais Cook County
bed and swan 25th day of
to before
Ala.ana
STHO
1
2
es
4
5
6
7
8
10
10
=
12
18
14
15
0
16
17
18
5
20
Jessie LorNa Carrithers
21
22
23
24
FILED.
JUL 29, 8.5 5 AM 1893
E. L. WILSON
CLK. P. C. CT.
26
27
28
29
30
00
32
State of Illinois 1
2
Union Counters
SS
Jessica Somma Carrither
3
being duly sword on her Bath doch depose and
4 says that she is the indentical person named 5 in the inclosed Deplouca from the Boxtheaction University Noman's medical School Chicago
7
dated June 13th 1895 and that she has filed
her certificate from the State Board of health 8
9
of the State of Illinois and als registered in the
10 11
Office of the County Click in The Country of lemon in the State adoresard on this 18the day of July A.D. 1896. 12
Jessie Lorena Canithers
18
14
Subscribed and euro to befor This 18th
18
day of July 1896.
16
Mamy Heilbardt County Cork
17 18
COM
By James aPak Deputy
319
20
21
22
38
24
20
27
29
30
31
$2
F
501
Physician's Application FOR
LICENSE.
Ile leansi Applicant.
DIPLOMA CLAUSE.
Date of Diploma, Feb2ych 188 Q
Name of College, Indian Huden
College
Filed
1885 Q Drapes Clerk.
Wm. B. Burford, Printer, Indianapoli."
PHYSICIAN'S APPLICATION FOR LICENSE.
(DIPLOMA CLAUSE.)
STATE OF INDIANA, Porter County,)
sct:
Before the undersigned, Clerk of the Circuit Court within and for said County and State, personally appeared 10 Carson who now makes application for a license to practice medicine, surgery and obstetrics, under an act of the General Assembly of Indiana entitled "An act regulating the practice of medi- cine, surgery and obstetrics, providing for the issuing of licenses to practice, etc.," approved April 11th, 1885, and said applicant being duly sworn, on oath says that ..... he is a regular graduate of Ara dama Medical College
in the State of
Braciana
the same being a reputable medical
college, and that .he holds a diploma dated February 27th 18.80, duly issued to her by the proper authorities of said college.
06 Carson
Subscribed and sworn to by said applicant before me this day
of . September 188
WITNESS my hand and seal of said Court.
La Drapaj,
CLERK.
STATE OF INDIANA, - sct:
Poster
County,
The undersigned, Clerk of the Circuit Court within and for said County and State, hereby certifies that the diploma referred to in the annexed application and affidavit was duly exhibited to him by suid affiant at the time such application was made.
WITNESS said Clerk and seal of said Court, this.
8th
FORTER. (
i
day of.
September,
1880
I. P. Orapup
CLERK.
PHYSICIAN'S CERTIFICATE
FROM THE
State Board of Medical Registration and Examination
TO
6 Carson .M. D.
FILED. JUL 2 1, 11.1 2 AM 1897 E. L. WILSON CLK. P. C. CT.
Filed
189
Clerk
County ..
\'n. B Burford, Printer, Indianapolis
EDICE
TATE
Form No. 6.
No. 296
Physician's Certificate.
STATE BOARD OF MEDICAL REGISTRATION AND EXAMINATION OF THE STATE OF INDIANA.
This is to Certify, That, pursuant to the provisions of " An Act regulating the practice of Medicine, Surgery and Obstetrics ; providing for the issuing of licenses to practice ; providing for the appointment of a State Board of Medical Registration and Examination and defining their duties ; defining certain misdemeanors and providing .. penalties, and repealing all laws in conflict therewith and certain acts therein specified," approved March 8, 1897, la M. D.,
of the County of
Bailes
in the State of Indiana, whose
post office address is. Valparaiso Jut.
has made application for a certificate authorizing a license to practice Medicine, Surgery and Obstetrics in said State, and upon evidence presented it appears that Mihe is the
legal possessor of a
Dicuisi
issued to the person named therein ; that ..... he has paid the proper fee prescribed by the law and in all other respects complied with said act, and upon the presentation of this Certificate to the Clerk of. Porter County, is entitled to a license to practice Medicine, Surgery and Obstetrics in the State of Indiana ..
IN WITNESS WHEREOF, the said Board of Medical Registration and Examination has caused this Certificate to be granted and signed by its President and Secretary, and attested by its official seal at Indianapolis, this. day ;AL
of July 189 DI Phaster til President.
SEAL INDIANI
Secretary.
IS
Physician's Application FOR
LICENSE.
Mm Olation Applicant.
DIPLOMA CLAUSE.
Date of Diploma, February 4th 1886
Name of College,
Hahnemann Medical College Chicago
S.I.T.T.
Filed
July 25 1883× D.R. Draper
Clerk.
Wm. B. Burford, Printer, Indianapolis"
PHYSICIAN'S APPLICATION FOR LICENSE.
(DIPLOMA CLAUSE.)
STATE OF INDIANA,
Portes: County,)
sct:
Before the undersigned, Clerk of the Circuit Court within and for said County and State, personally appeared William C. Caltrove who now makes application for a license to practice medicine, surgery and obstetrics, under an act of the General Assembly of Indiana entitled "An act regulating the practice of medi- cine, surgery and obstetrics, providing for the issuing of licenses to practice, etc.," approved April 11th, 1885, and said applicant being duly sworn, on oath says that .... he is a regular graduate of Hahnemau Medical College of Chicago
in the State of
Illinois
the same being a reputable medical
college, and that ... he holds a diploma dated February 4th, 1810, duly
issued to here by the proper authorities of said college.
W. Q. Mattrow
Subscribed and sworn to by said applicant before me this day
of July , 1880
TROVO
WITNESS my hand and seal of said Court,
PORTER
COURT
1
STATE OF INDIANA,
avec County,)
sct:
The undersigned, Clerk of the Circuit Court within and for said County and State, hereby certifies that the diploma referred to in the annexed application and affidavit was duly exhibited to him by said affiant at the time such application was made.
WITNESS said Clerk and seal of said Court, this.
day of ...
Juliy
188
-
1
PORTER (
1
..
CLERK.
PHYSICIAN'S
Application for License.
Same Or Chancellor
Difflorna Clause
THREE YEAR'S CLAUSE .
Date of Orfelina Frebig ux 1889. Rush Medical College.
FILED
JUN 12 1889
Filed 188.
Clerk. Porter Circuit Court.
Clerk.
Wm. B. Burford, Printer, Indianapolis.
COURT
mache,
Court, chris 12th day of Soul 188%,
Niture said Club and Deal of said
by said offrant at the time such application was application and affidaich was duly exhibited to hur certifus that the diploma referred in the annexed court within and for aand country and state , Lenby
The undersigned, clark of the circuit
)AO.
Date of Indiana
PHYSICIAN'S APPLICATION FOR LICENSE.
[THREE YEAR'S CLAUSE.] Diploma Clause
STATE OF INDIANA,
Portes County,
-
sct :
Before the undersigned, Clerk of the Circuit Court of suid County and State, personally appeared Samme R. Chancellor
who now makes application for a license to practice Medicine, Surgery and Obstetrics, under an act of the General Assembly of the State of Indiana, entitled " An Act regulat- ing the practice of Medicine, Surgery and Obstetrics, providing for the issuing of licenses to practice, etc.," approved April 11, 1885, and said applicant being duly sworn, on oath says, that. he has resided, and practiced Medicine, Surgery and Obstetrics, in the State of Indiana, continuously, for at least THREE years immediately preceding the date of the taking effect of said act, and had, prior to said date, attended one full course of lectures is a regular graduate of Rush Medical College of Chicago suche state of Derman
the same being a reputable Medical College; that the places or localities in which.ho
practiced Medicine, Surgery and Obstetrics, during said period of three years, together with the date and length of time in each locality, are as follows:
and that he holds a diploma dated
1
Febmay jack1889 dell issued to have by
the proper authorities of said college.
Samuel RChancellor
47361.
. Subscribed and sworn to before me, this
12ch
day of lead
1889
Witness, My hand and Seal of said Court.
IQ. Drafra
Clerk.
Physician's Application -FOR- LICENSE.
WSt. Christopher Applicant.
DIPLOMA CLAUSE.
Date of Diploma, February 26, 1899 Name of College,
Starting Medical
Collega
Filed november 26t
180
2. a. Orafin
Clerk.
Wm. B. Burford, Printer, Indianapolis.
1
PHYSICIAN'S APPLICATION FOR LICENSE. ( DIPLOMA CLAUSE.)
STATE OF INDIANA,
SCT: Porter County,)
Before the undersigned, Clerk of the Circuit Court within and, for said County and State, personally appeared I 26. Christopher who
now makes application for a license to practice medicine, surgery and obstetrics, under an act of the General Assembly of Indiana entitled "An act regulating the practice of medi- cine, surgery and obstetrics, providing for the issuing of licenses to practice, etc.," approved April 11th, 1885; and said applicant being duly sworn, on oath says that . he is a regular graduate of Starling Medical College of
Columbus
in the State of
Oficio
the same being a reputable medical
college, and that _he holds a diploma dated
February 25ch
, 1879 , duly
issued to how by the proper authorities of said college
-
Subscribed and sworn to by said applicant before me, this 26ch day
of november , 188.0
Witness, my hand and seal of said Court.
&.a Grabar
CLERK.
STATE OF INDIANA,
SCT :
County,
The undersigned, Clerk of the Circuit Court within and for said County and State. hereby certifies that the diploma referred to in the annexed application and affidavit was duly exhibited to him by said affiant at the time such application was made.
Witness, said Clerk and seul of said Court, this. 26ch day
of november
1890
I. a Drapu)
CLERK.
-
" License" a. b. Cliffund, en. D.
-
2
FILED. APR1 1, 1 .06 PM 1603 E. L. WILSON C_K. P. C. S. CT.
5
STATE OF
COUNTY OF
S.S
DIAN
.
F GMBrumfield Clerksof the Circuit Courtof Pake
County in the State
of Indiana, doherebycertifythat I & Clifford
has complied with the laws
of the State of Indiana relating to the practice of medicine, surgery and obstetrics in the County
and State aforesaid.
Witness, my hand and seal of said Court, this 3 dayof January 1802
MM. Brumfield
Cleiki.
5
SENTINEL PRINTING CO.IND,PLS.
Physician's Application FOR LICENSE.
: _
le, lerates. Applicant.
DIPLOMA CLAUSE.
Date of Diploma, March 1st 1864.
Name of College, Collegeof the Western Reserve at Hudson Theo
1
------
-3
-
...
Filed
Seloteben 7th 18
, 1885
J.R. Drakur
Clerk.
Wm. B. Burford, Printer, Indianapoli!"
PHYSICIAN'S APPLICATION FOR LICENSE.
(DIPLOMA CLAUSE.)
STATE OF INDIANA,
Tortur County,
sct:
Before the undersigned, Clerk of the Circuit Court within and for said County and State, personally appeared Hayes le, lerates who now makes application for a license to practice medicine, surgery and obstetrics, under an act of the General Assembly of Indiana entitled "An act regulating the practice of medi- cine, surgery and obstetrics, providing for the issuing of licenses to practice, etc.," approved April 11th, 1885, and said applicant being duly sworn, on oath says that ... he is a regular graduate of College of the Western Reserve at Hudson,
in the State of chia the same being a reputable medical college, and that ..... he holds a diploma dated March , st. 1864, July issued to hun by the proper authorities of said college! and also a diploma of Charity Hospital Medical College of Cleveland the dated February 22 red,866
Hayes le Coutes M. S.
1
Subscribed and sworn to by said applicant before me this.
.day of. Держивал
1885
WITNESS my hand and seal of said Court.
1
CLERK.
STATE OF INDIANA,
sct :
County,
The undersigned, Clerk of the Circuit Court within and for said County and State, $
- hereby certifies that the diploma referred to in the annexed application and affidavit was duly exhibited to him by suid affiant at the time such application was made.
WITNESS said Clerk and seal of said Court, this.
. ... .. ....
,
day of.
September
1885
DR. Drakur
CLERK.
1
PHYSICIAN'S CERTIFICATE FROM THE
State Board of Medical Registration and Examination
TO
DEcone M. D.
708
Filed
190
FEB14,3.1 7 PM 1005
Fc. s. FEIRCE 7.
Clerk
County.
wM. B. BURFORD PRINT, IND'PL#.
No
8006
Physician's Certificate on Examination.
THIS IS TO CERTIFY, That, pursuant to the provisions of "An act regulating the practice of Medicine, Surgery and Obstetrics, providing for the issuing of licenses to practice, providing for the appointment of a State Board of Medical Registration and Examination and defining their duties, defining certain misdemeanors and providing penalties and repealing all laws in conflict therewith and certain acts therein specified," approved March 8, 1897. Amended March 3, 1899, and March 11, 1901.
D. Edmund bone M. D., of the County of Porter in the State of Indiana, whose post office address is Valparaiso has made application for a certificate authorizing
"a license to practice Medicine, Surgery and Obstetrics in said State, and upon evidence presented by hillit appears that . the is the legal possessor of a Diploma issued by the
College of Physicians and Jurasons Chicago, Illinois
the said, College being in good standing with this Board, and ....... he has complied with
the law in all respects and has taken the examination required by this Board upon the following subjects, viz:
Anatomy, Physiology, Gynecology, Obstetrics, Theory and Practice of Medicine, Materia Medica and Therapeutics, Chemistry, Surgery, Histology, Pathology, Bacteriology, Hygiene, Medical Jurisprudence, Opthalmology, Otology, Rhinology, Laryngology and Dermatology; Pediatrics and has obtained the necessary per cent. required on the foregoing branches, and upon the presentation of this certificate to the Clerk of. Partir County, is entitled to a license to practice Medicine, Surgery and Obstetrics in the State of Indiana.
IN WITNESS WHEREOF, the said Board of Medical Registration and Examination has caused this Certificate to be granted and signed by its President and Secretary, and attgsted by its official seal at Indianapolis, this. JEnth day
CAL REGIS SEAL
of. February 1905
President.
Secretary.
J
Physician's Application FOR LICENSE.
Gruss a. Cores
Applicant.
DIPLOMA CLAUSE.
Date of Diploma,
march3122 1887
Name of College, State Medical College
of Richmance Va
FILEID
1-1047
Filed a GR. Draping, 18. Clerk Porter Circuit Court. Clerk.
Wm. B. Burford, Printer, Indianapoli."
PHYSICIAN'S APPLICATION FOR LICENSE.
(DIPLOMA CLAUSE.)
STATE OF INDIANA, Porter County,)
sct:
Before the undersigned, Clerk of the Circuit Court within and for said County and State, personally appeared Ernest a. looney .who now makes application for a license to practice medicine, surgery and obstetrics, under an act of the General Assembly of Indiana entitled "An act regulating the practice of medi- cine, surgery and obstetrics, providing for the issuing of licenses to practice, etc.," approved April 11th, 1885, and said applicant being duly sworn, on oath says that _he is a regular graduate of State medical College of Richmond Vergenia
in the State of
Virgema
the same being a reputable medical
college, and that .he holds a diploma dated March 31cc 1887, duly
issued to him by the proper authorities of said college.
Emest a. Corry
Subscribed and sworn to by said applicant before me this.
.day
of Deauber , 188
WITNESS my hand and seal of said Court.
i
CLERK.
1
STATE OF INDIANA,
sct :
Partir- - County,
The undersigned, Clerk of the Circuit Court within and for said County and State, hereby certifies that the diploma referred to in the annexed application and affidavit was duly exhibited to him by said affiant at the time such application was made.
WITNESS said Clerk and seal of said Court, this.
day of December 188 7
-SSS
PORTAR
1
1.Porafin
CLERK.
Physician's Application -FOR-
LICENSE.
Applicant.
DIPLOMA CLAUSE.
Date of Diploma, . June 22 nd 83
Name of College, Agutuely School of
Medicine,
!
Filed 12 ---
1, 188 3
.Clerk.
Wm. B. Burford, Printer, Indianapolis. 02C (708)
PHYSICIAN'S APPLICATION FOR LICENSE. ( DIPLOMA CLAUSE.)
STATE OF INDIANA, Fortes
SCT:
County,)
Before the undersigned, Clerk of the Circuit Court within and, for said County and State, personally appeared Katter Stewart Groszy who now makes application for a license to practice medicine, surgery, and obstetrics, under an act of the General Assembly of Indiana entitled "An act regulating the practice of medi- cine, surgery and obstetrics, providing for the issuing of licenses to practice, etc.," approved April 11th, 1885; and said applicant being duly sworn, on oath says that . he is a regular graduate of The Rentucky School of
medicine, Louisville
in the State of
the same being a reputable medical
college, and that ... he holds a diploma dated fame 22nd, 1993, July
issued to her by the proper authorities of said college
Subscribed and sworn to by said applicant before me, this
day of December , , 188 3
Witness, my hand and seal of said Court.
CLERK.
STATE OF INDIANA,
Porter
County,
SCT :
The undersigned, Clerk of the Circuit Court within and for said County and State. hereby certifies that the diploma referred to in the annexed application and affidavit was duly exhibited to him by said affiant at the time such application was made.
Witness, said Clerk and seul of said Court, this
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