MembershipCards_N-P

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R-4077

PAWWSKI , GLENN A. ~ "° ................ ··················································································p;··················.··························--······ 1 002 No:r:FbJa:r:td::::-Ave.- JI.. q _c;,°"a lo' C,:z I= C Buffa.lo )6., Jl • Y. ~ { 1.('-a,,c y ' . . ~ JC L C:.e :!. #- /vfo, , , !I A @. l Q,/1~ !l:e- (Applicant will please not write in spaces above this heavy line) Bu·s.

I WISH to enter into active Christian S ervice by becoming a member of .,jj-p

Delaware Avenue 8aptist Church - Ruffalo, N. Y. ',£. .P £,

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i'l)' By Baptism .:z.. 0 By Letter from ----------·------------------------

0 By Christian Experience Method of my baptism: I:!!;! By immersion

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My name in full

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