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Name C.B.= me Call Mrs. U-L 14-848 Principal or Agent 338-71-1646 Sr., Address Nausas City Kausas Date Subject Referred to- Date Date Subject Referred to- Date Rec'd. Number. Ans'd. Rec'd. Number. Ans'd. 11/13/15 4-4-9x 11/8/15 9/1/16 9-4-7-2 9/3/16

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