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With the United States Armed Forces
At ALBROUK AFS, PANAMA
I, i]ESnn~~~~~1 ~ ~ , the undersigned officer, do hereby
certify that on this _j7t~ day of 0&:f3er 19 g~_; '
-before me, personally appeared MARVIN F. ST_l_1TTS__ ,
SSAh Q02-32-3183 ,whose home address is 405-B Fort Clayton
Panama ,and who is known to me to be ~ service member
on
ac-
five
duty with fie US Armed Forces and to be :the identical person who
is described in, whose name is subscribed to, and who signed and executed ~
the foregoing instrument, and having first made .known to h im the •
contents thereof, h e personally acknowledged to me that h e signed
and sealed the same, on the date it bears, as H is~ true, free, and voluntary
act and deed for uses, purposes, and considerations, therein set forth. And
I do further certify that I am, at the date of this certificate, a commissioned
officer of the grade, branch of service, and organization stated below in the
active service of the United States Armed Forces, that by statute no seal is
required on this certificate, and same is executed in my capacity as a
commissioned officer under authority granted to me b 10 U.S.C. 936.
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Dennis Wells ~
587-84-0915 CPT US A ' `~y t ,t:
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JACC ~.i~.' '
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HHC 193d Inf Bde(Panama)
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