MembershipCards_S

full Name

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3 J?.

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Record No... -~

Record No.

D Experience

D Restoration

D Erasure

[}r Letter

~Letter

D Death (c,,\T,:) rn : IU- 73t..f f,ir

fROM :

.first Congregational Fai~port , New York

? ~I~ 1 r" J\! /'

H, A. B!GEL0\/11

..... Date of action by Membership Committee ........

... Q~_i:,-t5Q ............... ~~l.0'"'.QQ_

.9/id/f;····················

Board of Deacons Church

" Hand of fellowship

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