Live Life Claim Glen Adam

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:C.-S.-S.-C.-P.-S.-G.-P. Flag of this vessel.

PSN 7690-17-000-0391

For the Claimant-Knowledge of this Live-Life is with this claim by this Claimant.

~1 For the knowledge of these facts are with the claim of this Live-life-birth born
on~thirteenth-day~May-~year~1982.

~2 For these witness-knowledge of this live-life are with these claims of this live-life-
birth-nativity in the city-~Martin,-State~Kentucky,-County~Floyd, is with witness by the
mother-party-by the name :Betty-Jo: Public, and by the father :Glen-Edward: Public,-~by
their marriage-joinder.

~3 For the witness-knowledge of this live-life-claim are with the claim of this live-life-birth
with an authorization of these (2) two-witnesses-autographs. :Felisha-Marie: Beverly-
one, :Majesta-Rose: Beverly:, two.

~4 For the witness-knowledge of these facts are with this live-life-birth-claim with this
Correct-Sentence-Structure-Communications-Parse-Syntax-Grammar-Performance of
this Communications-Claim with this live-life-party.

:Image: Fingerprint (FP):

:_____________________________
:Witness/ :Felisha-Marie: Beverly/:Copy-claim ~For the day: January-____2022 FP:

:____________________________
:Witness/ :Majesta-Rose: Beverly/:Copy-claim ~For the day: January-____2022 FP:

:______________________ _____~For the date: January-____2022 FP:


:Autograph-Claimant-Lifebirth :Autograph/:Copy-claim-is with the verification this
~seventeeth-DAY,-~MONTH: January,-~2022 by the now-time: On-demand: claim.

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