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RC1010-1 Visitor Log 3/28/97
VIEW 9:54:44

Reception ID.. MAIN 
Provider.. AFD AFDC PROGRAM Log Created by JAMES
Program... AAFIN AFDC Intake on 3/28/97 at 15:11
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_Title____First______________Middle_____________Last____________Suffix
Name.... Mr. James Irven Briley Sr
R/S..... W M SS#... 50-12-3456 Known... Jim DOB.. 11/30/1935
Visit Purpose... INFO Provide Information
Representative..
Address... 7634 Bedford Drive
Charlotte NC 28226-1234
Mailing...

Phone#.. 704-366-3638 H 704-374-1750 W
Visit Result....
Master File?.. F Comment..
Last Maintained by.. JAMES at 15:11 Last Event by.. at

F3=Exit F11=Events
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