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USES Form 3-177 USES Form (Revised 03/10) 3-177 (Revised 12/03) O.M.B. No. 1018-0012 O.M.B. No. 03/31/2013 Expiration Date: 1018-0012 1. Date of Import/Export: (mm/dd/YYY) / / U.S. FISH AND WILDLIFE
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