MembershipCards_S

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Home Address ,·

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tA··l? .;AV6o~l'.~wn Ave nue ·. c·1t·y .. v1i 1 1-1 •.• ~-,,,_. ,.h . • 14209 • · . ["J· ""f 1 ~r y · · , * -Christian Exp MDmERSHIP ·RECOR_p **DELAWARE AVENUE BAPTIST CHURCH, BUFFALO, N.Y• . ··. . .r· Name I) ( . ..;./ ',-/ Cl,1'vt'v . ·__.41i~ . BttSTzAo;~Iess /: ~/ l,'~.,,.,/L- (L{,.!l_. ·I . c~~Y rJ 1~,c,-,d • ~ .. -~ ·,.·. · ... .... · ... ·· ~ Others in -household: ·, <. ;·;-:;-,_,. ... My occupat·ioii': phone :home g 8 l - ·/!if l l ~iae. or f 50 ~1J"'& er ver : x BLeat:pttism(O )

Othe-r" infbrma.tion (My baptism was by ~ immersion.;.._ sprinkling

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