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Aesthetics Lash Ink — 1955 Lucile Ave #B , Stockton CA 95209 PR0544775 <br /> March 24, 2021 <br /> PHOTO 3 : The client consent forms were not signed by the practitioner. <br /> 8Ye nht A approved and health consequences are unknown./'. <br /> I have read artd understand the contents of each paragraph above. I have received no unrealistic t' <br /> warranties or guarantt s with respect to the benefits to be realised from, or consequences of, the <br /> atbrententioned prtxedurv1. tiC-r <br /> Your signature below represents consent for permanent cosmetic servicqs and shall remain in effect <br /> during theentire period you remain a client of Aesthetics Lash Irik. (Init) <br /> Owle:dge by signing this consent form, I have been given full opportunity to ask any and all questions <br /> permanent makeup procedures and processes from my permanent makeup technician and/ or her <br /> Date t I / tLf l ZG <br /> reviewed the aboveinf�n with my client, or the client' s representative. <br /> Cosmetic Technician Date <br /> 1 � 1 <br /> Sandip Singh , REHS Page 3 of 3 <br />