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LCOA ENROLLMENT
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Record: 1
Date: Wed Apr 17, 2002 11:38:51 AM
Host: 128.118.246.201
Name: Nerm
Street Address: 576 University Dr
City, State, Zip: Happy Valley
Spouse's Name: Martha
No. of Children & Names: 14 Sam Sam Sam Sam Sam Sam Sam Sam Sam S
Type of Membership: Pro Driver
Charge To: VISA
Billing Type: 4 Equal Monthly
Card No.: 4984098320983903
Exp. Date (mo/dy/yr): 7
Your E'Mail Address: budzenner@webtv.net
             


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