Evenin' boys. Evenin' English. Hazy-hot-humid here in the Mid-Atlantic region.
8ntruck - It's kinda standard with the NCIC checks. The DC SNIPERS were actually stopped a couple times befire they were captured, and I believe Tim McVey was snagged that way. I used to have a fly-by-night motel on my old post, and would randomly check out-of-state tags for desperados. Thus are the times we live in.
Navyjack,
Indeed our 0 gauge stuff can be costly. A 4 wheel shunter/switcher tank loco can cost £450.00 A Grsley A4 Pacific can be as much as £1,000.00 or more. A 4 wheel frieght car will be around £15.00 and a passenger car about £30.00. I used to take the 'Model Railroader' magazine and I remember ads. from US importers of European trains in various gauges. The US prices were often less than we have to pay (bearing in mind that everything here carries a whacking great 20% tax on it).
I have some Lionel 0 gauge and the cost after adding shipping and UK taxes is generally 125% more than the price on the dealers list. (for a $100.00 item, I have to pay $225.00). Due to having to bail out the bankers and maintain their sickening bonuses, my trainset will remain in the box for some time.
John Baker
Good morning from the Golden State,
Had omelets for breakfast using Julia Child Video for how to make them right. She just shakes the pan and rolls them up. I'm not that good. I still use the spatula to turn them. Her secret is hot pan and plenty of butter or margerine so they won't stick.
Pet cockateel is still with us. He is happy as long as we leave him out of his cage. Makes a lot of racket if he does not want to get back in the cage.
I have given up on trying to figure out the problem with my MTH Proto 1 F unit. The horn will not stop blowing above 8 volts. Don't think this is a battery issue. I have a fully charge BCR battery replacement capacitor in it. Bell rings a lot too and you have to shut it off. Took shell off and can't see any obvious wire problems. The engine will still reverse OK and all the lights are working. Only problem is horn blowing. I will probably have to take it some where for diagnosis. If it was a bad chip problem, I don't think the engine would run.
Ran some of my other trains this morning with my newly repaired Z4000 transformer. All went well.
House next door is in escrow now and will close in about a week. Getting new neighbors soon. They seem like nice folks. Husband works for the fire department. Don't know if wife works or not. Two small children. Dad says he would like them to see my trains sometimes.
One of my Thursday night train buddies has a daughter getting married this week.
Have a good day,
Ray
SPMan
Good Mornin Ya'll From Hazy Taxachusetts,
We are back into the heat and humidity, low 90s for the next three days. July was the warmest here measured in average temperature since 1955. The bad news was that the electric bill arrived, reflecting the heavy A/C usage, measured in kilowatt hours The good news is that the bill in $ was lower than July 09. How is that possible? Son moved out (again) and there is no one left in the house to march through every room, turn everything on, and then leave. So the actual KWH used went down! Second, the State of Taxachusetts had legislated choice in the selection of one's power company, regardless of whose lines, generation, and transmission infrastructure delivers the electricity. My power company dropped my charge per KWH 25% with a phone call pointing out to them that they were the high priced spread. They caved in the blink of an eye and dropped my rate.
Re the problems folks have been posting about the medical insurance carriers and rejected claims. I worked for BCBS for a bunch of years and somehow was informally elected to research and rectify all nastgrams sent to the president regarding rejected claims. What did I find when I researched the rejected claims and the validity of them? By and large the claims were processed correctly and were computer-rejected correctly because:
(A) The claim was miscoded by the Doc billing staff/hospital billing staff/provider billing staff when it was submitted to the medical insurance carrier for payment. (i.e., Dr. RockIsland52 is cardiologist and the claim (code) is for a gastroenterologist procedure.
(B) The required specialist referral authorization, according to the policy requirement, both in network and out of network, had not been secured by either the patient or the attending Doc prior to services being rendered.
(C) The procedure/visit was not a covered service in accordance with the policy and level of coverage that was selected by the policy source (i.e., employer).
Regarding (A): Billing errors made by the provider on claims submission (computer input, no paper) for the services rendered are as common as toilet paper. At BCBS each provider has a provider services rep available to them to help them with rejected claims and to educate them to avoid claims rejections in the future. Your Doc or the hospital won't tell you (the patient) they miscoded the claim and that is why it didn't get paid and wound up in your lap. Too often in their conversation with you they will blame the medical insurance carrier and will simply keep automatically rebilling it multiple times, just as incorrectly as the very first one, hoping one of the multiple billings for the exact same service on the exact same date will stick and get paid. Without provider research and an accurate billing submission, it won't get paid.
Regarding B: I'm not sure why referral issues pop up except to say in my experience the referral was not requested and the referral Doc/ service approved prior to the referral Doc visit by the patient. When my primary care physician (PCP) dishes me off to a specialist, my PCP's staff generates the referral authorization request to my carrier and sets up the referral visit appointment with the "referred to" doctor for me, for an "in-network" specialist. Some specialists, however, are so good they don't (need to/want to) contract with medical insurance carriers and accept a lower reimbursement rate as a result. Getting your medical insurance carrier to approve a specialist of choice may take some doing. Some referral Docs are "out of (your) network" because they practice elsewhere but are so good they get the tough stuff, but these HAVE contracted with some of the medical insurance carriers and these can be approved as the referral specialist, in advance.
Remember, when you pick your coverage (or level of coverage ) when you sign up each year, you make some trade-offs to get both the best level of coverage for you and your family, a pallatable premium if there is such a thing (your portion, rest paid for by employer) and your freedom of choice. You make these choices from what your employer has selected as your choices. Your medical insurance carrier has little to do with it except to lay out choices and options and cost to the employer. Once the employer has made those choices, that is what is plunked down in front of you by Human Resources a month or so prior to your annual re-enrollment deadline.
Regarding C: What you and I don't know is what your/our employers, unions, state or local government entity, or other source of coverage has selected and told the medical insurance carrier what is to be covered or what should not be covered. It is all in the contract your employer signed with your medical insurance carrier. A BCBS person then enters the contract into the claims processing system telling it what your employer has selected.
So when your and my claim gets rejected...... even when your neighbor's claim does not, with the exact same medical insurance carrier and the exact same product and the exact same provider service with the exact same Doc, it may simply mean that your employer/source excluded or restricted your service so THEY could to get the quoted premiums lower, for them and hence for you.
And when you go to your inside medical insurance Plan administrator or Human Resources person, they don't tell you what was de-selected by them during the contracting process. The best example I can use is bypassing towing insurance, or bypassing loaner/rental car insurance for when your car is in the shop.
BCBS is a non-profit entity as are many others, while some medical insurance carriers are for-profit. BCBS has no stockholders or profit motive. Break even is the order of the day. Unlike automobile insurance where risk is spread out over the masses, where you and your good driving record subsidize those who would otherwise be uninsurable, medical insurance is quoted based on your (employer or group's) actual medical risk and medical claims history, not the masses.
A contracting entity like your employer can select a premium-based plan where the employer and employee premiums remained fixed for the entire contracted year, no matter how many claims and claim dollars are paid out. The contracting entity can alternatively select to be self-insured, whereby your company funds its own actual employee claims payments. Or the contracting entity can choose to be self-insured with an additional stop-loss premium, to mitigate the entity's maximum claims exposure in the event of "more than anticipated/projected" claims, such as in the case of "catastrophic" claims events.
The most extreme example I can relate to you was an issue that was plunked on my desk by the President's executive assistant. A doctor had recommended a bone marrow transplant for a sick little boy. At the time, the medical establishment and research community considered the procedure for the little boy's condition experimental, with mixed results, and a last resort approach.
Coverage was denied by BCBS for the procedure due to the policy restrictions set by the self-insured employer, which excluded this procedure. The parents went to their employer. The employer blamed the heartless, money-grubbing insurance carrier (BCBS) when all the while the rejection was due to the employer's coverage choices..... which they could have overriden and could have simply told us "approve, process, and pay it. And we pay you, BCBS."
The self-insured employer was trying to avoid a catastrophic claim on their immediate dime and to avoid the negative claims history for their future medical insurance cost considerations.
Desperate, the parents of the little boy did what you, I and we all would do. They went to the press with their dire predicament and at the same time sent off a plea to BCBS' President. Whom they should have been pleading with? Their employer, because it was the employer's choices that determined if the claims would be paid or would be rejected by BCBS.
Jack gets the "drop whatever you are doing and tell me TODAY what is going on and tell me how do we fix it TODAY" call. I wound up confirming the up-front coverage choices made by the employer, the employer's exclusions selection, their cowardly decision to say nothing to the parents, and their equally cowardly decision to blame BCBS. I told the Pres all this stuff and got his green light to call the employer to "suggest" THEY override THEIR decisions and to give us the green light to "approve" (their approval, not ours) the procedure and the related expenses.
One five minute phone call from me to the decision-maker at the employer was all it took. "YOU are both the source of this impasse and YOU are the solution. BCBS can't approve and process these claims without your expressed approval since you picked the coverage, you picked the exclusions, and you are ultimately paying for all of it. And by the way, BCBS takes a very dim view of your hanging us out to dry in the process..... with the parents of this little boy, with your employees, with the press, and with the general public. Something has to give here, and that would be you."
The employer caved, approved everything, the little boy got his procedure, it worked, and everyone lived happily ever after. Except that BCBS went down in everyone's eye as the bad guy in all of this. BCBS maintained the employer's image, privacy, and their culpability. No follow-up vindication. No page 19 press correction of the sequence of events. Just a black eye going forward for BCBS.
Folks just assume it is the medical insurance carrier that is always at fault with this stuff when the carrier is most often doing what it has been instructed to do, what it has been contracted to do, quietly and confidentially, by the employers. I am NOT saying medical insurance carriers are perfect. I am NOT saying mistakes are not made. I am NOT saying the carriers' claims staffs are perfect.
Now that I have put you all to sleep without your reclinerizing and popcorn......
Later gang.
Jack
IF IT WON'T COME LOOSE BY TAPPING ON IT, DON'T TRY TO FORCE IT. USE A BIGGER HAMMER.
Morning all. Watching Trains and Locomotives on DVR from RFD. This one is on the UP's 8444 and the Daylight. Both cool!
Chief, have to agree with you. It seems that talk in the rank and file is that they will begin a draw down of force though. Most political types are reactive, not proactive.
Joe, glad momma and baby are home safe. Going to be lots of "fun" for the next few months! Also, glad 8N's bride is home...may want to place a couple of good size books, or perhaps a brick under the foot board of the bed. Keep her legs slightly elevated (provided she doesn't have any congestive heart failure).
NavyJack, I have a couple of Winchester 30/30s that are great guns, but not the best for varmint. I would suggest either the Hornady 17 or perhaps a 222. You want something flat shooting that will reach out to about 200 yards. The best combination would be a one with a good 10X scope and mod to heavy barrel. One thing you may also like to have is a canvas sack, such as a coin bag from the bank. Fill it with kitty litter and tie it off. You can use this as a rest on either a window sill or you can lay it on a branch or anything else and rest the rifle on it to give the most still platform to shoot from.
God Bless,Dennis
TCA#09-63805
Buckeye Riveter Chuck....We were beat up all night with those same thunderstorms. We watched the 10 pm weather and they never said a word about storms. Also, the weather radio did not beep with a warning.
Chuck....We were beat up all night with those same thunderstorms. We watched the 10 pm weather and they never said a word about storms. Also, the weather radio did not beep with a warning.
Why no weather allerts? Wasn't Thunderstorms. Was Reb cannons letting yuz giz know the war is not over.
Running late. Slept till 8:30. Wifey went to work late and kept Finn busy so I did not get the "wakeup" from Lucy and Finn around 7 AM. Got to hit the road down east to do some "legal" stuff.
Thanks again for all the cards. Some from way up North to the deep South and even way out West.
Later
God bless TCA 05-58541 Benefactor Member of the NRA, Member of the American Legion, Retired Boss Hog of Roseyville , KC&D Qualified
Good morning
Sun, humid, and 90s today.
Happy birthday to Corey, got to watch the spelling as we have a Cory. Grass needs cutting again, usuall this time of year its brown but the storms have kept it green and growing. The weeds love it. Had a great ride via messanger as Doug M rode home on the train. Also had Brutus and Charlie along....Have a great day......S.J.
"IT's GOOD TO BE THE KING",by Mel Brooks
Charter Member- Tardis Train Crew (TTC) - Detroit3railers- Detroit Historical society Glancy Modular trains- Charter member BTTS
Aloha all from a rainy Chicago where my feet got wet again on the long walk to work. Nothing louder than a thunder clap between skyscrapers. Woke me up! What a way to begin the day. LOL. Great ride with Brutus, Sir J and Charlie home last night after class. Didn't see any aurora borealis last eve due to the solar storm. Happy belated birthday to Corey. . Glad his dad continues to recover. Good news about Char, Brutus! John, I try to work a similar way with my vacation days. Anyone seen James May's Toy Stories on BBC America? The latest episode featured 10 miles of HO track lain alongside a bike path made from the old Atlantic Coast Express route of the (original) Southern Railway. They ran a series of trains but only made it 7 miles. LOL.
Doug Murphy 'We few, we happy few, we band of brothers...' Henry V.
fifedog Evenin' boys. ..............88 - 'tis good to read that your love life is nearing 100% again.
Evenin' boys.
..............88 - 'tis good to read that your love life is nearing 100% again.
Fife......... So subtle. That one made my day and I am sure Brent appreciates it.
When Brent was laying in a hospital last November (sawed off part of his leg) and then again earlier this year (took a swan dive off a ladder), he was worrying about his predicament and a long recuperative period, with house projects unfinished amidst family planning in high gear. Little did he know that these things would pass and the sun would someday shine upon him once again. And little did he know that the one thing he had to fear most was......well, us.
So to Brent I say, we all admire you for hanging in there through your darkest hours and....... if you are having difficulty, switch hands.
Good Morning from the Jersey Shore, 75 going to 87, VERY HUMID, 87%, you can cut it with a knife, 40% chance of thunderstorms.
Yesterday I installed the new all in one sump pump w/ battery back up. Nice unit and it fit nice in the pit. After that I serviced my GMC pickup. Over 112,000 miles trouble free. It has the original tires that I am replacing when I get back from Colorado. Today I am planning on cutting the grass, hopefully beating the rain. After cutting the grass I will install a new water pressure gauge for the outboard on the 18' Center Console. First I think I will make a run to the town recycling center. We are going to miss the pickup next week. And my wife told me to do nothing but relax.
Dennis, Central a/c has been around for over 50 years. You would think that they would make a more dependable longer lasting unit for the price that we pay. I have BC/BS Horizon HMO. EVERYTIME my wife goes to a specialist, they deny the claim stating that she had no referal or authorization. I have to call and raise a stink everytime. That includes surgery and hospital stay. What I do to avoid any hassles, I call our Company's benefits Department and get a 3 way conversation with BC/BS. It gets resolved in minutes. I also have copies of all the paperwork and fax it as needed.
Chief, Good Luck with the Insurance. I share the same views on the Military.
RI Jack, I am going to almost hate to retire (what a lie). I have 38 years with the Company and I get 6 weeks vacation that I turn into 7. I take 4 weeks in the summer and the last 3 weeks off in December. My manager started the same day and he asked me again how I turn 6 weeks into 7. I told him easy: I take every other week off in the summer starting with the week with the 4th of July. 1 extra day. Then I take Christmas and New Year's weeks. 2 more extra days. Then I add my 2 floating Holidays and presto, 7 weeks.
Brent, Definitely install the moisture barrier. The house that my daughter bought had some work done on it before she bought it. The neglected to install it on the outside of her closet and she had ice in the closet that winter.
Sub Bob, Glad that you are coming along.
Joe, I am glad that the baby and wife are doing fine.
Spanky, Happy belated Birthday to your Son. Hang in there with the knee.
8ntruck, Speedy recovery for your wife and father in law.
Mke C, I sent the dining car back to Chuck and SJ.
Thoughts and Prayers to all in need.
John
Celebrating 18 years on the CTT Forum.
Buckeye Riveter......... OTTS Charter Member, a Roseyville Raider and a member of the CTT Forum since 2004..
Jelloway Creek, OH - ELV 1,100 - Home of the Baltimore, Ohio & Wabash RR
TCA 09-64284
Good Morning from Blueberryhill....
It is a stormy 70 degrees. Big thunderstorms all night. Still going on. Looks like another hour, at least. Going up to 80 with lots of humidity.
Today is a busy day. I have some chores to do and then, I will spend some time at the FC (fitness center). I hope it stops raining, by then. We did need the rain.
Dining car is here and the usual for breakfast.
Y'all have a great Wednesday.
Chuck
Good morning all,
IIABSDISEI and it is hot with temps near 100 today. Busy day at work. I took it easy last night as well. I had the regular fare on the dining car for breakfast before sending it on to "Points East". TBIL and I can drive again tonight. I hope everyone has a good day.
Keep on training,
Mike C. from Indiana
john i have heard that o gauge trains in england are real expensive. do you have any cool large engines like the a-4? i have the lionel shakespeare express. i wish they would make a hall class in black. meanwhile guys i have a bid in on a lionel rs-3 and a six wheel crane. could not resist. sbmmbob, glad you are getting around. anyone have any experience with henry 30-30's? i am thinking about getting one for varmint control. bought a new mossberg 12 gauge(price was right). the sandstorm. cool little gun. it is for varmints also. would rather have a remington, but cant afford right now. navyjack
p.s. passed up a flyer k-4 set in original boxes had six cars and a pedestal crane. neighbor wanted 100 bucks. have no interest in flyer. friends if you want me to turn you on to flyer when it pops up let me know. i run into about three trains a year mostly wife gets them for church bazaars.
We call it 'football'.
All rather confusing---really?!
Sunny and 90's again today.
NavyJack - happy birthday.
Bob - glad to hear that your recovery is coming along.
Carted my wife home from the hospital Sunday. Spent yesterday getting her settled here at home. Spent today getting her the next stronger pain perscription and getting in to see a doctor for a call on her swollen legs - a real hassle, as her doctor in town is on vacation and left the emergency room as an alternate. New pain pills are working well and swelling is not anything serious. FIL's recent episode was a mild heart attack. He is home and resting well.
The hospital is in the next town, about 70 miles away. Sunday, we stopped a couple of times on the way home so my wife could get out and move around a little. On the second stop, a State Trooper stopped by to see if he could help. We thanked him, told him what we were doing and that we were fine. He asked to see my driver's license, took it into his cruser and apparently ran it on his computer?? Personally, I think that was a bit of overkill. Fifi - that sound like standard procedure? Didn't think I looked that suspucious.
All for now.
Good evening all,
Spent most of the day at home with the kids while the wife was at the doctor's office. The time I spent at the office was mostly spent catching up on emails. Nothing too exciting after work: the two older kids performed a show they came up with and played some Wii Backyard Football with the 7y/o son. The show was very entertaining and Wii football game was a blowout, but I won't say for whom.
Fife - Thanks for being so sympathetic. Last night was a bit better and I was able to get to the gym this morning feeling a little more rested.
Chief - Yes, it seems every so often some folks with higher pay grades think we need to draw down our forces - I'll never understand it. Fortunately, my job never makes it to any of those cutback lists. It is always in demand and undermanned. I agree with you about the National Guard - there intended purpose is to defend the homefront, and also (with the Reserves) backfill the active duty positions when the active duty folks head off to war.
RI Jack - I'm with you: DJ Spanky picks some great presents. to your son Corey.
Good night,
Joe
Good Evening
80s today and humid.
Yes we voted, walked to the school and then added a few blocks on the way home. Banilla is waiting...S.J.
Good evening everyone. Finished a little late tonight, but not too bad. Hope not to have to go in. Spending some quality time with the family, so it will be a quick stop over. Have a youtube video playing in the back ground. Jon will appreciate this, listening to Brahms Concerto (Movement I, Part II). This is being played on Violin by Sarah Chang.....girls got talent!
Spanky, good to see you checking in and that your recovery is going well. Hope it has been a great birthday for Corey.
Chief, we had a issue with Mom's insurance. They sure will try to deny anything they can. If folks knew half the things that are denied in the fine print, they wouldn't sign up for many of the policies. Unfortunately, many things get solved by a phone call to the insurance commissioner. One of the general surgeons had his son's surgery denied by BC/BS. Of course the person doing the refusal knew nothing about the surgery, just following orders. He called the state insurance commish. and within the hour got the approval for the surgery.
Hope each of you has a blessed night.Dennis
Corey!
NJ!
Bob and Spanky, glad you're doing better! Also continued prayers for Mrs. 8nT!
HOT in Saint Louis as well today - hit 101 without the heat index, so maybe like 1 zillion degrees with the H.I.? Voted against a stupid iniative today, but otherwise just don't feel I got anything done. More of the same tomorrow, I suspect. Plus, my GOLD membership on XBOX Live died today, so need to shell out some money. Wife's biopsy results were good, can't remember if I posted that, with improvement shown
Tardis will be ready and we can flip to see who drives. We'll watch for your signals, Doug Prayers for us all and our friends and loved ones.
RIP Chewy - best dog I ever had.
to NAVYJACK and CORY! Im also waiting for my Plasticville tank car. Received an email a few weeks ago saying they were shipping. Oh well will continue to haunt the mail man.Good thing he is easy going.
Demay - Sleep... BWA-ha-ha-ha...
navyjack -
cheapclassics - There was a soccer match with Manchester v Milan this past weekend. Baltimore is trying to impress the soccer powers that they are a player in World Cup. Unfortunately, only 30K showed up at M&T (seating 70K). However, 10K showed up at Westminster the same day for RAVENS camp.
88 - 'tis good to read that your love life is nearing 100% again.
Jack,
I am not sure if I'll go. I am saving up for another 93-97 GT, or a first gen LX or GT. I know that if I go and end up in Berlin, the money will disappear. I'd like to have a 93-97 GT with a five speed instead of an automatic, and buying a complete car would be easier and cheaper than doing a swap on mine. Plus, I've always wanted an 89-92 Probe. I am still kicking myself for passing on a blue 93 GT in Colorado awhile back, but it was just too far for me.
SPANKY...... To your Cory on the big 5.0 Adopt me.....I like the presents you pick out, and I am housebroken.
Demay Hudson - Work is a blessing and in times like these I'm very grateful I have a full-time, secure job (Air Force). It's just hard to get back in to the swing of things after a three-week vacation. However, when I can afford it, I look forward to retirement and having more time at home with the family, missions, and hobbies. Regards, Joe
Hudson - Work is a blessing and in times like these I'm very grateful I have a full-time, secure job (Air Force). It's just hard to get back in to the swing of things after a three-week vacation. However, when I can afford it, I look forward to retirement and having more time at home with the family, missions, and hobbies.
Regards,
Until the "war" is over and they start laying off folks. Happened to a buddy of mine in Texas. A Major at Ft. Hood. Suddenly "bought him off" [along with others] in a reduction in forces. Hope that doesn't happen to you.
Now that puts me on my . Our military should be kept "up to par" enlistment wise for defence. The National Guard is for national defence and NOT for foreign wars.
Partly cloudy and not suppose to rain. Was just sprinkling. Rained out National Night Out last year. Just told the LT of the PD that when we need rain, we'll schedule a National Night Out.
OH, working at Town Hall. Town Manager is home sick, Town Clerk had family emergency and our new Planning Director does not get here from FL until the 21st. Leaves only Rec staff in this building. PD in another building. If they were in this one, the Admin Asst could help.
Jack, I have a feeling that Shake and Bake [just turned 62] will be paid staff and Kaye will be owner of his business. His salary will be right under the max to not be cut on SS.
Happy Birthday to the Jacks!
Charlie a.k.a. MichiganRailRoad714 (Charter Member TTC)
Good afternoon all,
A late post for me this morning. The baby had a check-up today and is doing well; he is already up to 9lbs, 15oz. Wife is at a Dr appointment now so I am home watching all three kids. So far nothing has burned down. Today is supposed to be the hottest day of the summer for us out here; possibly going to hit 106.
RI Jack - Yes, I've been told I am not too stable because I enjoy running. I was even crazy enough to complete my first marathon this past November. I didn't break any records, but I didn't die either.
Navyjack!
That's my fault, Jack. I saw your birthday posting on Facebook without looking at the date. LOL. Sir J, enjoy the weather. I'll look for you at each stop.
First and foremost
Happy Belated Birthday Don!
and
Happy Birthday NavyJack!
Doing OK and still dealing w/ my 5 bayonet wounds. Friend is taking me to my doc's for one of my weekly visits (she is keeping close tabs on me now) in an hour or so. May take the bicycle down to the shop for some repairs in his truck. Looking forward to getting out on it when all the dust settles.
Need to jump in the shower. Check back tonight.
Bob
Tucson, AZ (aka the Ol' Pueblo)
Home of the Mt. Graham & Arizona Eastern Boiler Shops
Brent......thank you for the birthday greetings, but you missed it by 6 months! Sure sign of trauma and old age!!!
Jack.
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