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| Husband: | Clifton Adams | ||||||
| Father: |
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| Mother: |
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| Wife: | Sarah Stevens | ||||||
| Father: |
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| Mother: |
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| CHILDREN | ||||||||
| 1 | Name: | Ethel Mae Adams | ||||||
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| Married: |
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| Spouse: | Earle Mathias Hutchinson | |||||||
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| 2 | Name: | Glenn Adams | ||||||
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| 3 | Name: | Ruby Adams | ||||||
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Prepared By:
Rolande Pierce-Rose |
| Husband: | Clifton Adams | |||
| Social Security Number: |
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| 004-34-5389 or 004-10-6274 | |||
| Address and Phone(s) | ||||
| Medical | ||||
| Notes | ||||
| Marriage Information | ||||
| Wife: | Sarah Stevens | |||
| Beginning status: | Married | |||
| Marriage Notes | ||||
| Wife: | Sarah Stevens | |||
| Address and Phone(s) | ||||
| Medical | ||||
| Notes | ||||
| Child: | Glenn Adams | |||
| Relationship with Father: | Clifton Adams - Natural | |||
| Relationship with Mother: | Sarah Stevens - Natural | |||
| Address and Phone(s) | ||||
| Medical | ||||
| Notes | ||||
| Marriage Information | ||||
| Marriage Notes | ||||
| Child: | Ruby Adams | |||
| Relationship with Father: | Clifton Adams - Natural | |||
| Relationship with Mother: | Sarah Stevens - Natural | |||
| Address and Phone(s) | ||||
| Medical | ||||
| Notes | ||||
| Marriage Information | ||||
| Marriage Notes | ||||
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