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Bitmap Image  |  1997-03-10  |  2MB  |  1059x1424  |  4-bit (3 colors)
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OCR: LOGO COMPANY NAME Social Security Insurance Date NAME: LAB FIRST INTIAL ADDRESS: TEL: CT PROMNO AOBTAL Position Applied For: Date Available: Salary Expected: Hours Available: Shift Desired: Day Night Aftemoon Any Shift Education History Namo ocaticr Degroe High School University College Other Employmont History (most curent first} Employer: Jab Title: Address: Dutles Phone: Reason for Leaving: From: To: Salary: Employer. Job Title: Address Duties: Phone: Reason for Leaving: Employed From: To Salary: APPLICATIDN LAST CITY PAOMND POSTAL Pasition Educ tion Location Degroo Employment cuont flrst Rearon Emploved Tite