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	Angler's first name: Angler's last name:



	Angler's age:



	Select the county where this animal was taken:



	Date you were fishing: Unknown



	Where was this fish taken? Lakes/Reservoir: River/Stream: Other (e.g. private pond):



	What type of bait were you using:



	How long was your fish (in inches) How much did your fish weigh? Pounds Ounces

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