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Scanned typed letter on white paper, not a photograph of people. Body text in a serif font discusses Yoga, Ayurveda, Dhyana and Pranayama and praises KAILASA and the Supreme Pontiff of Hinduism on his 44th Jayanthi. The letter closes with 'Very Respectfully' above a handwritten signature dated 4th Jan 21 and a typed signature block reading Omkar Tiku, MD, FRCS, surgeon [retired], Owner, Former Drs. Tiku, Professional Corporation. No physical people are visible.