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Text File  |  1993-10-17  |  902b  |  79 lines
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  3. "1"
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  6. "Nom (de jeune file pour les femmes).....:"
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  9. "A                             "
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  11. "0"
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  14. "Prénom(s)...............................:"
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  17. "A                             "
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  19. "0"
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  22. "Homme ou Femme..........................:"
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  24. 48
  25. "LHF"
  26. "0"
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  29. "Date de Naissance.......................:"
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  31. 48
  32. "DATE"
  33. "0"
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  35. 5
  36. "Date du Thème...........................:"
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  38. 48
  39. "DATE"
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  43. "Adresse.................................:"
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  45. 48
  46. "                              "
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  48. "0"
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  50. 5
  51. "Adresse Suite...........................:"
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  53. 48
  54. "                              "
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  56. "0"
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  58. 5
  59. "Code Postal.............................:"
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  61. 48
  62. "#####"
  63. "0"
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  65. 5
  66. "Ville...................................:"
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  68. 48
  69. "                              "
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  71. "0"
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  73. 5
  74. "Adresse Fin.............................:"
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  76. 48
  77. "                              "
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  79.