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Award Reamits phase accept tks Temporary Certificate of Awari
Ajmmat Certifiate & Bwaved Brass vkrn will be muled to You By Friday October 14, 1994. in order that we may have tkrnes engraved with your correct Name & Boat Name, vkase Fil1 in the Refired information and return this form to chvies Gray.
Please Print:
Boat Name	Vl/y 0 M /' W G
Boat Omm Naur E. ft ■ fc J K\ b-Rb Fa«Wj/
Mailiifl Address: n $	'D^iVe,
Q.UT OFF, L*-7 03^5
Hancock County Historical Society
(601) 466-3499