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0 1 2 3 4 5 6 7 8 9 10	Number of Adults (65+) $11.00 Each
0 1 2 3 4 5 6 7 8 9 10	Number of Adults (Under 65) $13.00 Each
0 1 2 3 4 5 6 7 8 9 10	Children (ages 4 - 17) $10.00 Each
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Total	$