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e 0 1945 QUESTIONNAIRE CHANGES 1. NAME: LABEL AND x FILE 2. PERMANENT ADDRESS a 3. PROBABLE ADDRESS 4. COMMITTEE 5. EMPLOYMENT 6. RESERVE CHANGE AGE SPECIAL PREPARATION HEALTH AVAILABILITY MARITAL STATUS NO INTEREST R. c. AW AF NW NF E PHE 2 Un 3 An Re Ca De AW AF NW NF E PHE 2 Un 3 An Re OTHER 7. REMARKS no change -78754M Bickg.o. 10 84 8 of

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