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2 changed files with 163 additions and 0 deletions
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@ -90,6 +90,140 @@ kommentar = 'age und hobbies sind honeypots'
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<label for="servername">Bitte geben Sie den Namen des gesicherter Webbereichs an. Der Zugriff erfolgt immer über die Web-Adresse: https://<strong>name</strong>.verua.org</label>
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<label for="servername">Bitte geben Sie den Namen des gesicherter Webbereichs an. Der Zugriff erfolgt immer über die Web-Adresse: https://<strong>name</strong>.verua.org</label>
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<input type="text" id="servername" name="servername" placeholder="name" required >
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<input type="text" id="servername" name="servername" placeholder="name" required >
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</div>
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</div>
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<div>
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<b>Welche Leistungen bieten Sie an?</b><br/>
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<input type="checkbox" id="SOM" name="SOM" value="SOM: Somatische Leistungen" checked />
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<label for="SOM">Somatische Leistungen</label>
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<input type="checkbox" id="PSY" name="PSY" value="PSY: Psychiatrische Leistungen" />
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<label for="PSY">Psychiatrische Leistungen</label>
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<input type="checkbox" id="AÜP" name="AÜP" value="AÜP: Akut- und Übergangspflege" />
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<label for="AÜP">Akut- und Übergangspflege</label>
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</div>
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<div>
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<b>In welchen Kantonen haben Sie eine Bewilligung oder haben eine Bewilligung beantragt?</b><br/>
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<table cellpadding="3">
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<tr>
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<td>
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<input type="checkbox" id="AG" name="AG" value="AG: Aargau">
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<label for="AG">AG: Aargau</label>
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</td>
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<td>
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<input type="checkbox" id="AI" name="AI" value="AI: Appenzell Innerrhoden">
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<label for="AI">AI: Appenzell Innerrhoden</label>
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</td>
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<td>
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<input type="checkbox" id="AR" name="AR" value="AR: Appenzell Ausserrhoden">
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<label for="AR">AR: Appenzell Ausserrhoden</label>
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</td>
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<td>
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<input type="checkbox" id="BE" name="BE" value="BE: Bern">
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<label for="BE">BE: Bern</label>
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</td>
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</tr>
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<tr>
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<td>
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<input type="checkbox" id="BL" name="BL" value="BL: Basel-Landschaft">
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<label for="BL">BL: Basel-Landschaft</label>
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</td>
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<td>
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<input type="checkbox" id="BS" name="BS" value="BS: Basel-Stadt">
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<label for="BS">BS: Basel-Stadt</label>
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</td>
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<td>
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<input type="checkbox" id="FR" name="FR" value="FR: Freiburg">
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<label for="FR">FR: Freiburg</label>
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</td>
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<td>
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<input type="checkbox" id="GE" name="GE" value="GE: Genf">
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<label for="GE">GE: Genf</label>
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</td>
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</tr>
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<tr>
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<td>
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<input type="checkbox" id="GL" name="GL" value="GL: Glarus">
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<label for="GL">GL: Glarus</label>
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</td>
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<td>
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<input type="checkbox" id="GR" name="GR" value="GR: Graubünden">
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<label for="GR">GR: Graubünden</label>
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</td>
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<td>
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<input type="checkbox" id="JU" name="JU" value="JU: Jura">
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<label for="JU">JU: Jura</label>
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</td>
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<td>
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<input type="checkbox" id="LU" name="LU" value="LU: Luzern">
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<label for="LU">LU: Luzern</label>
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</td>
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</tr>
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<tr>
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<td>
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<input type="checkbox" id="NE" name="NE" value="NE: Neuenburg">
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<label for="NE">NE: Neuenburg</label>
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</td>
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<td>
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<input type="checkbox" id="NW" name="NW" value="NW: Nidwalden">
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<label for="NW">NW: Nidwalden</label>
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</td>
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<td>
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<input type="checkbox" id="OW" name="OW" value="OW: Obwalden">
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<label for="OW">OW: Obwalden</label>
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</td>
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<td>
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<input type="checkbox" id="SG" name="SG" value="SG: St Gallen">
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<label for="SG">SG: St Gallen</label>
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</td>
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</tr>
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<tr>
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<td>
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<input type="checkbox" id="SH" name="SH" value="SH: Schaffhausen">
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<label for="SH">SH: Schaffhausen</label>
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</td>
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<td>
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<input type="checkbox" id="SO" name="SO" value="SO: Solothurn">
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<label for="SO">SO: Solothurn</label>
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</td>
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<td>
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<input type="checkbox" id="SZ" name="SZ" value="SZ: Schwyz">
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<label for="SZ">SZ: Schwyz</label>
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</td>
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<td>
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<input type="checkbox" id="TG" name="TG" value="TG: Thurgau">
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<label for="TG">TG: Thurgau</label>
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</td>
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</tr>
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<tr>
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<td>
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<input type="checkbox" id="UR" name="UR" value="UR: Uri">
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<label for="UR">UR: Uri</label>
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</td>
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<td>
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<input type="checkbox" id="VD" name="VD" value="VD: Waadt">
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<label for="VD">VD: Waadt</label>
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</td>
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<td>
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<input type="checkbox" id="VS" name="VS" value="VS: Wallis">
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<label for="VS">VS: Wallis</label>
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</td>
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<td>
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<input type="checkbox" id="ZG" name="ZG" value="ZG: Zug">
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<label for="ZG">ZG: Zug</label>
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</td>
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</tr>
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<tr>
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<td>
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<input type="checkbox" id="ZH" name="ZH" value="ZH: Zürich">
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<label for="ZH">ZH: Zürich</label>
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</td>
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<td>
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</td>
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<td>
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</td>
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<td>
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</td>
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</tr>
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</table>
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</div>
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<div>
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<div>
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<label for="modulpop2">Wünschen Sie die Erweiterung um das Modul POP2?</label>
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<label for="modulpop2">Wünschen Sie die Erweiterung um das Modul POP2?</label>
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<select id="modulpop2" name="modulpop2" required >
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<select id="modulpop2" name="modulpop2" required >
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@ -130,6 +130,35 @@ function constructMessage()
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$message .= $servername . "</p>";
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$message .= $servername . "</p>";
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}
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}
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// form inputs cantons - only FPP
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if ( ! isset($organisation) && $lang == "DE" )
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{
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$arrServiceTyps = [ "SOM", "PSY", "AÜP" ];
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$message .= "<hr/><p><b>";
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$message .= "Leistungen, die Sie anbieten";
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$message .= "</b><br/>";
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foreach ( $arrServiceTyps as $abbreviation )
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{
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if (isset( $_POST[$abbreviation]) )
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{
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$message .= $_POST[$abbreviation] . "<br/>";
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}
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}
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$message .= "</p>";
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$arrAllCantons = [ "AG", "AI", "AR", "BE", "BL", "BS", "FR", "GE", "GL", "GR", "JU", "LU", "NE", "NW", "OW", "SG", "SH", "SO", "SZ", "TG", "UR", "VD", "VS", "ZG", "ZH" ];
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$message .= "<hr/><p><b>";
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$message .= "Kantone, in denen Sie eine Bewilligung (beantragt) haben";
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$message .= "</b><br/>";
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foreach ( $arrAllCantons as $abbreviation )
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{
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if (isset( $_POST[$abbreviation]) )
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{
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$message .= $_POST[$abbreviation] . "<br/>";
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}
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}
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$message .= "</p>";
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}
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$modulpop2 = filter_input(INPUT_POST, 'modulpop2');
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$modulpop2 = filter_input(INPUT_POST, 'modulpop2');
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if (isset($modulpop2))
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if (isset($modulpop2))
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{
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{
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