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The Reuters caption:

U.S. President George W. Bush writes a note to Secretary of State Condoleezza Rice during a Security Council meeting at the 2005 World Summit and 60th General Assembly of the United Nations in New York September 14, 2005.

He thinks he may need a bathroom break? We had no idea he knew those words. Consider the difference they make: "I think Saddam may have bought yellowcake in Niger." "I think this may be a turning point in the war." "Brownie, I think you may be doing a heck of a job. (Or maybe not.)"

But no. In all those other cases, he was certain. It's only about his own bowels he has doubts. Weird.

[Enhanced closeup of the text after the jump.]

UPDATE: E&P confirms the photos is real, un-Photoshopped, and of Bush.

Bush Writes a Note [Reuters Pictures]

This image was lost some time after publication.