why two different medals (VLM 2010)

hi there,

as per title i saw this photo and they appear to have 2 different medals. do you choose or something?!

http://i1086.photobucket.com/albums/j453/Webbybear/Kevin-Green_Adele-Wilkins_Sue-Crawford-Condie_2010-London-Marathon_AMBER-15.jpg

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