MembershipCards_S

I I 'f - .....Reg •....2970.........Scott,.. Mrs •... HawleY...F •.... C ... ertha).................................. 9g -~a.mer Ayenu • J:5 1S-tD maw- t-. J/' + J

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"C !JS"" (~pplica:t will please not write in spaces above this heavy line)

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

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Delaware Avenue Baptist Church - Buffalo, N. Y.

1

0 By Baptism 1_ t1 1 G By Letter from __,,G,..r...,a.._c""-"'e'----'B""a ..... o..,....t,..i... s.._t.._.... T .... a ... b..,e~r ....n....,.a...,,c~J'-'e"'-+,__._K~e..aDw.IDu.u..Ou.r_.e~, _...,J\T,._Y..__~~·--1- 1__ v+'-_j.___,,/,.... -+fp-,-,-- L uµb}:;, 1'5 ~

,, (Letter was granted to Kenmore Baotist in 1937 but never ~sed)

0 By Christian Experience Method of my baptism : 0 By immersion

0 By sprinkling

My-name In full -------------------– (If married woman give first name also)

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

TELEPHONES

Occupation

Home ______ _

Business Address Date __ A_o_r_1-'· 1cc..__,3c....,----=l=9__.3'""3'--------

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