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C.B.-9 Name Folty Mrs. do lara Shortridge 14-848 Principal or Agent Pres Los Angeles Million Glub Address Date 1025-26 Subject Stay Bldg Date Date Loo Angeles, Subject balif Date Referred to Referred to Rec'd. Number. Ans'd. Rec'd. Number. Ans'd. 6/24/18 9-4-2-2 M.

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