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Oon DATE OF REPORT: 04/12/12 ADDRESS: 123 Crabapple Lane WDC AGENT CERTIFICATION NO.: DCA09876 CITY: Acorn STATE: NC ZIP: 23654 CERTIFICATION ISSUE DATE: 04/15/2011 CERTIFICATION EXPIRATION DATE: 03/31/2014 TELEPHONE: 910-123-4567 ISSUE DATE PERMIT NO. SPECIES COUNTY TYPE OF DAMAGE NO. EST. NO. ON PERMIT TAKEN METHOD DISPOSITION 01/11/12 11-00025 Gray Squirrel Wake Vinyl Siding 6 3 Colony Trap Relocated* 01/15/12 N/A Beaver Wake Cutting Trees ----- 4 Conibear Euthani.

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