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SNL 1VU __ ---..__.... <br /> U.S.Department of Labor 5 7 5-941-19%9 <br /> Employment Standards Administration ��\ Social Security Account No. <br /> Ways and Hour Division ``JJ Permanent Home Addro" z i 1 b bR 1T TA NY C ODU RT <br /> FLCE Certificate of Repiatration <br /> Na,E 'U9-9y1y79—L-y7—R 6DUI CH 9524@2 <br /> Expires 12/3 1/V (City or Town) (5tate) = P Code) <br /> ) <br /> Name K US , S Dote of girth 12/A 1/5 7 HeiWht 69 int 320 <br /> (Luq (First) (Mlgdie) nA 1R : (I' f-WAIJOY) (Year) <br /> I certify that the person named above Is registered pursuant to the t Yt S : a KOwN <br /> Migrant and Seasonal Agricultural Worker Protection Act and Is author• <br /> Ized to perform the following actIvItlei cQvor*4 Py the Acta kecrult, <br /> sQllclt,furnish,hire and employ. This Certificate of keel tion Is sed on the Migrant and Seasonal <br /> Agricuiturol Worker P taction Ac and regulations Issued thereunder, <br /> Employer's Name J J nI US FARM �,E K V IC E S I I1JC and an appllca for reglitr Ion.It may ba rov ked or suspenaodr <br /> 9 I—L-97--R Its r no of de or Wont pilance with rePulat(on&. <br /> RugistrationNumberU —OU4137 L-97—R Such ocompll c may co tlwtaacrlm a1o11wIN• <br /> privin th t ed t u rizetl <br /> Appro l I a1tl 01/U 1/90 <br /> (Aii an Raglpnal A m porm WH•513 (~/841 (S nature Igat) Title) <br /> ..�.. -.-..—.-ter ..�4...v^.v+++.:rv�,rr�. -.--..-.-v-..-.. ...•. .+....rw._ »f. <br />