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Submitted URL: https://lumalk.com/lH9pil4V7Rl
Effective URL: https://secureform.luxsci.com/forms/18359/12848/oJJR/form.html
Submission: On May 08 via manual from PH — Scanned from DE
Effective URL: https://secureform.luxsci.com/forms/18359/12848/oJJR/form.html
Submission: On May 08 via manual from PH — Scanned from DE