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Request Confirmation *** SAMPLE *** (working version)

Thank you for requesting an ID record from Centro's Migration Division collection. You will be contacted by an archivist within 1-2 weeks. You may also send questions to info@centropr.org.

Your information has been forwarded as follows:

ID Record Requested
 
Your Personal Information
     

First Name: Luis

   Your Name: Myrtha Perez

Last Name: Ortiz

   E-mail: myrthaperez@yahoo.com
Maternal Last Name: Vargas   Phone: 212-890-3455
Town of Birth: Camuy   Comments: Best to reach me via email. Thank you.
Date of Birth: May 23, 1961

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