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Form R-329. 2m-8-59-92xM <br /> J � <br /> arm's in r <br /> (USE TWO LINES WHERE NECESSARY, ALL NAMES TO BE GIVEN IN FULL-) — ---- -- — -- _—__--� <br /> TE Condition, <br /> DA <br /> NO. A FULL NAME OF CHILD SEX ss Twins, COLOR PLACE OF BIRTH FULL NAME OF FATHER <br /> BIRTH ems' <br /> 923 <br /> 6 S- 4 u , <br /> SA v� <br /> 16 �tq jO0V bdnnl AJ � ��►i-I^o� <br /> �l 29 Jov Cfema19— lid u t-F1 <br /> !`4, <br /> I - - <br /> i <br /> Nov <br /> - - <br /> _ 13 <br /> 44 DeC, , Z(1�.� <br /> r <br /> r� <br /> i <br />