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PATIENT NAMED UE DATEINVOICE NUMBERBALANCE UPJOHN Q PUBLIC10/28/202190000000×18.15To pay by MasterCard, American Express, Discover, or Visa fill out below: MasterCard BOX 1230 EVANSVILLE, IN 477061230AMERICAN
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This is a lucky horseshoe necklace made of gold fill material.
Anyone who purchases or sells the lucky horseshoe necklace is required to file.
You can fill out the form online through the www.etsy.com website.
The purpose is to document the transaction of the lucky horseshoe necklace for record-keeping and tax purposes.
The information required includes the buyer's and seller's contact details, the date of purchase, and the price of the necklace.
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