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<br /> SacLl Soc�ity Number �05-18-3697 Social Security l�uaiber
<br /> STA7E OP�ASKA, NALL C�ss:
<br /> 71je f ia�ti[�ent was xknowled ed bcfore me ti:is , �RD �y of ���1 L 1992
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<br /> (�ac� � �jEFt+ti, 11 SIN6lE PERSON.
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