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“Cousin It” Adams 1313 Mockingbird Way Tulelake, CA 96134. ADDRESS. AGE. APPLY HERE. APPLICATION. 4 /xx/xx. APRIL. 8 /xx/xx. AUGUST. AUTHORIZED PERSONNEL ONLY. CAUTION. CITY. Modoc. Siskiyou. Klamath. Josephine. COUNTY. DANGEROUS. 6/17/82. 10/7/05. 11/24/05. DATE.
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“Cousin It” Adams 1313 Mockingbird Way Tulelake, CA 96134
Modoc Siskiyou Klamath Josephine
6/17/82 10/7/05 11/24/05
D.O.B. ______________ 5/15/1992
$ BOSS