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<br />. <br /> <br />. <br /> <br />. <br /> <br />Loss Control Services loc (1,1'~ <br />.-C: I\.(-> <br />Alcohol Awareness Programs 763-545-5981 UuNV'v0 <br />Robert Pomplun 1804 Mendelssohn Avenue North Golden Valley, Mn 55427 <br /> <br />?- <br /> <br />LOSS CONTROL SERViCES VERIFICATION FORM <br /> <br />DATE: I a /12 {~)S~ <br /> <br />TO INSURANCE COMPANIES: <br /> <br /> <br />I' t A -r () l\-fY'w ~ <br /> <br /> <br />(' <br />