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Account Reinstate

I, , account owner of , hereby authorize HelloNote (E Medical Records Live Inc.) to reactivate the HelloNote account for

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I have the authority to make this decision.

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I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

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August 19, 2025 5:46 pm CST

Account Reinstate Uploaded by Steve Glukh - [email protected] IP 47.162.17.96