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<br />Loss Control Services Inc ~~ <br /> <br />Alcohol Awareness Programs 763.545-5981 Ou~V\;\5 <br />Robert Pomplun 1804 Mendelssohn Avenue North Golden Valley, Mn 55427 <br /> <br />?- <br /> <br />LOSS CONTROL SER~CES VERIFICATION FORM <br /> <br />DATE: ,121' '2 f ~./5" <br /> <br />TO INSURANCE COMPANIES: <br /> <br /> <br />'I eji''' C L <br />h. ;~ ,':c..... <br /> <br />I'l;'*\{ ()~~ <br /> <br /> <br />r <br />