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BANK OF AMERICA 7
Bank of America,
PO Box 18254, Wmington DE 19850
January 6, 2005
MARIA PeOROTH
108 CHURCHVIEW ST
MAR EAT o due your depot account end in S57. Heres wha YoU need to know
tomate are you understand tou is change cul fet you. You may aso receive separate nt
bet er au you hve wth 5
‘Things you nee o o immediately
ceive wil be returned Unpaid. Ke
Dont wre any more checks on this account. Any checks we
ins tna count spt you nave a Slebaiance Banning ST oe
lake sure there's enough money In your account to Keep it from becoming overdrawn you
vem Jour occur oF cry ovrcrann, yo ned to depost enough each to BANG You
bare Dam
{ancel any reuming payments, Contact any hid pares sending electronic or Automated Ci
use Act rnaactons 1 cance te payment or make other payment arrangements,
+ Mate ote arangements for any dret deposit. We wont accep Orea Sapo alo your a
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CERTIFIED COPY
Pursuant to the Births and
BBU
OF AN ENTRY
Deaths Registration Act 1953
581
ll okLanoma BIRTH CERTIFICATE request Form
STEP 1 - In order to accept this form, please read the following requirements:
+ This request must be completed in full request w 4 without the signature and photocopy ofa legal photo)
+ Enclose a copy of a current legal photo |.0. of the applicant (see back fo les)
+ Enclose all the appropriate fees and include a self-addressed stamped envelope (see back for mailing address)
ie Complete the fields below starting with the FULL NAME AT BIRTH: ifthe birth nome was legally changed, please see instructions on back):
Gate O female:
AROMA GH Gandia County FRET than age 2, Lk the name APO Mile
same
han ER Lat Name ES etage)
This request is being made by =
(see eligibility n ms on bo je Parent E tegarcuareian or Custodian [] authorized Agent, specity:
( )
Sayiime Telephone Number
Your Name
Corrent ating Adress Required iy] ate Bp
17 No Email
Ema rer
Purpose for which the birth r ‘ay
car theate is neaded: O oivers License E] social security Ceassport Eschoot CA state assistance Pam I other: >
BBZ
OF AN ENTRY
Deaths Registration Act 1953,
BIRTH =] 7]
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