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COLLIN_DAVID ROLAND_4853026
A.R.R.No.2815534 No.4:853 026 Name P_9L.1JJ~,~~YJ,Q.RQ1~~4 _ residing at-__!3_~~'--~~fJ~_M~-'-J!_~·t._L_f!tQI!9.P-S~J!~J~-!.__~~_._ Date certificate issued Januar.:y:_2.1~_l94J.by the C_ommon_.P.le_a.s...Court at-Was.hing.ton,__~~_~_ Petition No.A7.9.5 _ _/l!~__~~_ (Complete and true signature of holder>