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T <br /> Sit <br /> Client's Drivees License, or IDA <br /> Describe nature and location of : <br /> Will this Tattoo require another session le ? <br /> Ifs , Date of Future Session: <br /> If applicable, describe reason for denial of servicerequested client.- <br /> Flash Design: <br /> Check pigments used: <br /> Easy Glow:owhiteo Tribal Black0UnerBlack0 Red❑ yellow❑ Orangeo Browno Green® Magenta <br /> oPurple oBlue[]Greyo Garter Beit Green o Knock Out Greeno Emerald Eyeso Eyeshadow Blue <br /> [:]Bombshell Blue❑Dirty Blondep Wedding Night Whiteo Sinful Redo Blusho Bikini Pinko Hard Candy <br /> oBurgundy UpsoLuscious Lavendero Brunet Browno Mean Machine Greeny Tiki Tano Goblin Green <br /> oula Skirto Big Kahunao Big Blue Eyes o Blue Birdo PurplePanthero Surfboard blue❑Bad Wolf Brown <br /> olady Bug Orange❑Hot Rod Redo Fiesho HiLite Yellow <br /> r is Q Sumi Black OGreywash <br /> it r C :Q Greywash <br /> Other: (Manufacturer/Name): <br /> Professional Tattoo and/ ody fi'ercins <br /> f 12 N.Union Kd Manteca, Cal <br />