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My upper arm and shoulder was done by Cleen while listening to Mr. Cash back in 2003 @ Topnotch in Elgin IL. I am planning a trip to Las Vegas asap he said I can set up an appointment to get some line work and coloring done to make it look perfect. As far as I am concerned it looks great after 16 years. After I get it 100% done I will be soooo happy with it.