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| style="border: 1px solid; line-height: 0.9;" | <small><span style="float: left;">{{{1|}}}</span><span style="float: right;">{{#sub:{{{5|}}}|1|6}}</span><br>{{#getdisplaytitle:{{#sub:{{{5|}}}|0|7}}}}</small>
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| style="border: 1px solid; line-height: 0.9;" | || style="border: 1px solid; line-height: 0.9;" | {{#tag:zint||code={{{2|2003220001152}}}}} || style="border: 1px solid; line-height: 0.9;" |
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| colspan="2" style="border: 1px solid; line-height: 0.9;" |<small>{{ItemRecord/hasLocation|{{{4|}}}}}</small> || style="border: 1px solid; line-height: 0.9;" | <small>{{ItemRecord/hasHoldingInstitution|{{{3|}}}}}</small>
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