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Award Recipients Please accept this Tentporaiy Certificate of Award
A jmiamit Certificate & Emraved Brass Plme will k mailed to You By Friday October 14, I99i. in order mi we may have jkaies engraved with your correct Name & Bod time, Please Fill in the Rewired information and return this form to Charles Gray.
Please Print:
Bod Name AI(',gaieR_
Bod Owners Name £u^e- h. Wa.1 e.t Hr.
Mailing Address: 7/7 SanoLu Aock iv.
~?as<i C-kt-ls Z/CLflj
Ms. 3
Hancock County Historical Society
(601) 466-3499


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