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To Who m It May Concer n,

I am S hie la Yvet t e M. Leyco, daught er of Est relit a M. Leyco. I aut hor ize
my mot her t o get or refill my medic ine for my ma int enance. I can’t get my
medicine due t o my healt h co ndit io n.

Thank you for your kindness and co nsider at io n.

S incer ely,

SHIELA YVETTE M. LEYCO

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