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Case No

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Data provided by Parents DOB Husband 21-may-1957 Wife 4-Jul-59 Parents DOB Husband 8/1/1960 Wife 3/18/1963 Parents DOB Husband 3/30/1980 Wife 04=11-1976

XYZ Marriage Dt 24-6-1967 6/24/1967 Marriage Dt 5/12/1977 Marriage Dt 3/12/2009 1st child DOB Sex(M/F) 14-Jun-77 M 1st child DOB Sex(M/F) 2/2/1980 M 1st child DOB Sex(M/F) 6/23/2010 F 2nd child DOB Sex(M/F) 3/30/1980 M 2nd child DOB Sex(M/F) 7/31/1984 F 2nd child DOB Sex(M/F) 8/10/2011 F 2nd child DOB Sex(M/F) 11/8/2005 F 2nd child DOB Sex(M/F)

Parents 1st child DOB Marriage Dt DOB Sex(M/F) Husband 6/14/1977 Wife 9/25/1982 3/1/2002 15-06=2003 M Parents DOB Husband Wife Parents DOB Husband Wife Parents DOB Husband Wife Parents DOB Husband Wife Parents DOB Husband Wife Parents DOB Husband Wife Parents DOB Husband Wife Parents DOB Marriage Dt 1st child DOB Sex(M/F) Marriage Dt 1st child DOB Sex(M/F) Marriage Dt 1st child DOB Sex(M/F) Marriage Dt 1st child DOB Sex(M/F) Marriage Dt 1st child DOB Sex(M/F) Marriage Dt 1st child DOB Sex(M/F) Marriage Dt 1st child DOB Sex(M/F) Marriage Dt 1st child DOB Sex(M/F)

2nd child DOB Sex(M/F)

2nd child DOB Sex(M/F)

2nd child DOB Sex(M/F)

2nd child DOB Sex(M/F)

2nd child DOB Sex(M/F)

2nd child DOB Sex(M/F)

2nd child DOB Sex(M/F)

12 13 14 15 16 17

Husband Wife Parents DOB Husband Wife Parents DOB Husband Wife Parents DOB Husband Wife Parents DOB Husband Wife Parents DOB Husband Wife Marriage Dt 1st child DOB Sex(M/F) 2nd child DOB Sex(M/F) Marriage Dt 1st child DOB Sex(M/F) 2nd child DOB Sex(M/F) Marriage Dt 1st child DOB Sex(M/F) 2nd child DOB Sex(M/F) Marriage Dt 1st child DOB Sex(M/F) 2nd child DOB Sex(M/F) Marriage Dt 1st child DOB Sex(M/F) 2nd child DOB Sex(M/F)

3rd chilld DOB Sex(M/F)

4th child DOB Sex(M/F)

3rd chilld DOB Sex(M/F)

4th child DOB Sex(M/F)

3rd chilld DOB Sex(M/F)

4th child DOB Sex(M/F)

3rd chilld DOB Sex(M/F)

4th child DOB Sex(M/F)

3rd chilld DOB Sex(M/F)

4th child DOB Sex(M/F)

3rd chilld DOB Sex(M/F)

4th child DOB Sex(M/F)

3rd chilld DOB Sex(M/F)

4th child DOB Sex(M/F)

3rd chilld DOB Sex(M/F)

4th child DOB Sex(M/F)

3rd chilld DOB Sex(M/F)

4th child DOB Sex(M/F)

3rd chilld DOB Sex(M/F)

4th child DOB Sex(M/F)

3rd chilld DOB Sex(M/F)

4th child DOB Sex(M/F)

3rd chilld DOB Sex(M/F)

4th child DOB Sex(M/F)

3rd chilld DOB Sex(M/F)

4th child DOB Sex(M/F)

3rd chilld DOB Sex(M/F)

4th child DOB Sex(M/F)

3rd chilld DOB Sex(M/F)

4th child DOB Sex(M/F)

3rd chilld DOB Sex(M/F)

4th child DOB Sex(M/F)

3rd chilld DOB Sex(M/F)

4th child DOB Sex(M/F)

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