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Number 45 was an item on The List.
Wasted Electricity
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As Earl is in a coma and slowly dying, Randy is getting ready to say goodbye to Earl and realizes that for each list item that gets crossed off, Earl recovers a little more. After noticing this, Randy looks for a list item that can easily be crossed off and when he finds "Wasted Electricity", he turns off the lamp at Earl's bed and Earl recovers a little more.
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