DEPARTMENT OF HEALTH AND FAMILY SERVICES. Division of Health DOH 5282 (Rev, 08/96)
State of California Chap. 69, Cal Stats..
DIVORCED CERTIFICATE APPLICATION
THE FOLLOWING INFORMATION IS ABOUT THE PERSON COMPLETING THIS APPLICATION:
    
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We offer 2 types of membership by Online Check
$2.95
   3 Day Trial Membership by Online Check
$14.95
   Discounted Monthly Membership by Online Check
If you select this plan, you will also receive FREE memberships to the following sites:
American-Sweethearts.com
ArielBanks.com
FemaleCelebrities.com
FemaleStars.com
Strippers.com
Will be billed as "Credit Card Billing"

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