Daba 2000 Word

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D.A.B.A.

2000
Death Aid & Brotherhood Association
Tinago, Ozamiz City
Date:

HEAD of the FAMILY:


Mr. Age:
Mrs. Age:

Members of the Family Age Relationship

1.
2.
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Obligations: Signature:

Registration fee 20.00 [renewable every year] MR. DANILO L. RETUYA SR.
Death Aid Contribution - 100.00 + 50.00 D.A.B.A. 2000 President

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