the short version (i.e. not including the theories of who, how any why, like jiggy says check out some of the other boards) is that it was taken by someone who subsequently recieved something like $5,000 by the national enquirer (yep THOSE lovely sleeze hags) who soon after printed the image. as far as putting it up on the web, anyone with an image scanner could have done it.
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Ditto to the above. Printed in the rag National Enquirer, later published in the National Enquirers "20 years of photographs" or some such title like that. Scanners galore - reproduced even more.
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evidently the national enquirer did not develope any morals by the "20th anniversay edition".
in any case, if you have time have a look through some of the other boards for the theories on who took the pic and how. most people are pretty sensible, but personally i think some have been taking stupid pills.
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