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D a.. r n -e. I( L o v 111 ~ S ADDRESS 400 €/mwood /4V~ .B '-l.-{{:. °' l t) (\ • '-\ . \ '-1 2 2. 2- ~ p + 4 t 7~ MEMBERSHIP RECORD DELAWARE AVENUE BAP NAME UCArn ,e, l I Lo " , f1 7 5 BUSINESS ADDRESS No N-<-

t,Received into membership on 5/.l..'J 19

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Letter Christian Exp. - --=s-- / r 9 Y:-

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OCCUPATION /Vu.re~ Nc-r w ~v- Jc 11-1

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MY BAPTISM BY:

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