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5880.XXX
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Text File
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1991-06-27
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457b
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12 lines
#5880
@001 State the name of the declarant
#5881 Do you desire a "no-hydration" clause?
#5882 Do you desire a "no-feeding" clause?
#5883 Do you desire a release clause?
#5884 Do you desire a transfer clause?
#5885
@448 State declarant's city of residence:
@449 State the declarant's county of residence:
@450 State the declarant's state of residence:
@451 State the declarant's social security number:
#5886 Do you desire a notarization clause?