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sup luu - - -- -------- - - -- - — <br /> U.S.Department of Labor 5 7h-9 ti-19_79 <br /> Employment Standards Administration �/� Social Security Account No. _ <br /> Wage and Hour Division <<* Permanent Home Address 2'11d bR 1T TA NY JU RT <br /> EE.pi,. <br /> CE Certificeu of Registration <br /> .E U9-9'i1V7 )—L-97—R LCIuI CH 952ti2 <br /> 12131/97 (City or Town) (State)K nn(ZIP Code) <br /> Name U�J� ^�_ Date of Birth 1[/ 31/5 7 Height 6 lvbi{0 3 10 <br /> (Last) (First) (Middle) mA 1 R ; ( t/l (Year) <br /> I certify that the person named above Is registered pursuant to the t Y 5 • b hn WN <br /> Migrant and Seasonal Agricultural Worker Protection Act and Is author. <br /> Ized to perform the following ACtlVltles COVerad by the Act: Recruit, <br /> solicit,furnish,hire and employ, This Certificate of Regl tion Is sed on the Migrant and Saasonal <br /> Agricultural Worker Pr tectlon Ac and regulations Issued thereunder, <br /> Employer's Name J J KILIS F A R m �.E K V LC L S I IVC and on appllcat for reglstr Ion, it may bo rev ked or suspended, <br /> or Its r ne al den q, or nonc pilance with C regulations. <br /> RL Such o compll nc may co tltuteacrlm al often;a. <br /> privin th t ed Ngtu rued <br /> Appro ( e 01/U1/9oAss an Regional Amorm WH-513 (6/84► IS natureIger) (Title) <br /> - �-.-..............-.-•r. �..rr..,,.._r.�n,...�.�,,,.,.^e..w...r.y�.r+-.-y.w�.,-. ..•,r.• -...:nw��... - . ..,�..�--`-�.-+M��-.r.+r...-.+-+....-.mss <br />