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PETITIONER 0 D Husband Number 14a. NAME OF PETITIONER S ATTORNEY Type or Print 1 D Wife 2 D Joint 3 D Other Specify D None 14b. TITLE OF CERTIFYING OFFICIAL 22. SIGNATURE OF CERTIFYING OFFICIAL D White D Black 3 D American Indian 26a. 1 Death Elementary/Secondary 0-12 27a Divorce dissolution or annulment 25d. NUMBER OF THIS MARRIAGE - By D 3 D 26. RACE - American Indian Black White etc. Specify below Date Month Year 25c. 25a. 24b. CHILD SUPPORT WAS AWARDED TO 2 D Annulment 20. COUNTY OF...
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