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_____R_~g_. ____ _J_7:i,4__________,S.C!}:19_~r:i_i:._h_i3:J_,. __ J,,yJ~____ J_~--- ___________________________ -------------------------------------- 2 Sun set Drilr'i, :Q'ilr.ls1 r, )I1t!nr ¥@Pls

Delm,_ar Home 936?2

88 Jordan Blvd., Delmar, N. Y. ~ (Applicant will please not write in spaces above this heavy line)

Bus.

I WISH to enter into active Christian Service by becoming a member of

Delaware Avenue Baptist Church - Buffalo, N. Y.

0 By Baptism [XI By Letter from Lancaster Pr esbyterian

Former member Baptist Church , Lanca ster

0 By Christian Experience

Method of my baptism : g By immersion

Address - ------------ ------------------- - Zone__

TELEPHONES

Occupation -------------------------–

Home _______

Business Address

Date September 27 , 1950

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