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I second pictures of the baby, in nice (silver?) frames. Bonus points if it's her with the baby (rich grumpy old ladies tend to be egocentric). My rich, grumpy old grandma also loves puzzles (perhaps with a print of one of your photos), luxury foods (like paté, french cheeses or nice jams), and Christmas trinkets (like these http://www1.macys.com/shop/product/lenox-christmas-ornament-photo-ball?ID=588248&PseudoCat=se-xx-xx-xx.esn_results).
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