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  • Verification and Funds Release Form

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    Alyce Pickering
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    This document contains verification information for Alyce Taylor Pickering, a 19 year old female student living in Overland Park, Kansas. She provides her full name, address, age, telephone number, sex, occupation, country and state. She declares that the information provided is true and acknowledges that providing false information will result in forfeiting any winnings.

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    VERIFICATION AND FUNDS RELEASE FORM    

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    © Attribution Non-Commercial (BY-NC)

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    This document contains verification information for Alyce Taylor Pickering, a 19 year old female student living in Overland Park, Kansas. She provides her full name, address, age, telephone number, sex, occupation, country and state. She declares that the information provided is true and acknowledges that providing false information will result in forfeiting any winnings.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as RTF, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    116 views1 page

    Verification and Funds Release Form

    Uploaded by

    Alyce Pickering
    This document contains verification information for Alyce Taylor Pickering, a 19 year old female student living in Overland Park, Kansas. She provides her full name, address, age, telephone number, sex, occupation, country and state. She declares that the information provided is true and acknowledges that providing false information will result in forfeiting any winnings.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as RTF, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    VERIFICATION AND FUNDS RELEASE FORM 1.Full name Alyce Taylor Pickering 2.

    Contact Address 10415 Bond Overland Park, Kansas 666215 3.Age 19 4.Telephone Number (913) 284-6614 5.Sex Female 6.Occupation Student 7.Country United States Of America 8.STATE Kansas 9.I.........Alyce

    Pickering......hereby

    declare that the aboveinformation is true and binding on me. If at any time it is discovered that I have given false information, I will forfeit my rights to my winnings.

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