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Drs. Keller Burk and Vu 3107 Lone Tree Wy. Ste. A Antioch CA 94509 925-757-5081 Client Photo Release Form I hereby authorize Drs. Keller Burk and Vu and / or any of their assignees to take photographs slides and / or videos of my face jaws and teeth. I understand that the photographs slides and / or videos will be used as a record of my care and may be used for educational purposes in lectures demonstrations advertising including website publication newspapers magazines phone books television...
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Keller Burk and Vu is a financial reporting form used by businesses to disclose certain financial information.
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Keller Burk and Vu requires reporting of various financial data such as income, expenses, assets, and liabilities.
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