“Cousin It” Adams
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“Cousin It” Adams 1313 Mockingbird Way Tulelake, CA 96134 PowerPoint PPT Presentation


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“Cousin It” Adams 1313 Mockingbird Way Tulelake, CA 96134. ADDRESS. AGE. APPLY HERE. APPLICATION. 4 /xx/xx. APRIL. 8 /xx/xx. AUGUST. AUTHORIZED PERSONNEL ONLY. CAUTION. CITY. Modoc. Siskiyou. Klamath. Josephine. COUNTY. DANGEROUS. 6/17/82. 10/7/05. 11/24/05. DATE.

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“Cousin It” Adams 1313 Mockingbird Way Tulelake, CA 96134

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Cousin it adams 1313 mockingbird way tulelake ca 96134

“Cousin It” Adams

1313 Mockingbird Way

Tulelake, CA 96134


Address

ADDRESS


Cousin it adams 1313 mockingbird way tulelake ca 96134

AGE


Cousin it adams 1313 mockingbird way tulelake ca 96134

APPLY HERE


Application

APPLICATION


Cousin it adams 1313 mockingbird way tulelake ca 96134

4/xx/xx


April

APRIL


Cousin it adams 1313 mockingbird way tulelake ca 96134

8/xx/xx


August

AUGUST


Authorized personnel only

AUTHORIZED PERSONNEL ONLY


Caution

CAUTION


Cousin it adams 1313 mockingbird way tulelake ca 96134

CITY


Cousin it adams 1313 mockingbird way tulelake ca 96134

Modoc

Siskiyou

Klamath

Josephine


County

COUNTY


Dangerous

DANGEROUS


Cousin it adams 1313 mockingbird way tulelake ca 96134

6/17/82

10/7/05

11/24/05


Cousin it adams 1313 mockingbird way tulelake ca 96134

DATE


Cousin it adams 1313 mockingbird way tulelake ca 96134

D.O.B. ______________

5/15/1992


Date of birth

DATE OF BIRTH


Cousin it adams 1313 mockingbird way tulelake ca 96134

1-5-2006


Cousin it adams 1313 mockingbird way tulelake ca 96134

DAY


Cousin it adams 1313 mockingbird way tulelake ca 96134

12/xx/xx


December

DECEMBER


Employees only

EMPLOYEES ONLY


Cousin it adams 1313 mockingbird way tulelake ca 96134

$

BOSS


Employer

EMPLOYER


Cousin it adams 1313 mockingbird way tulelake ca 96134

2/xx/xx


February

FEBRUARY


First

FIRST


Friday

FRIDAY


Cousin it adams 1313 mockingbird way tulelake ca 96134

1/xx/xx


January

JANUARY


Cousin it adams 1313 mockingbird way tulelake ca 96134

7/xx/xx


Cousin it adams 1313 mockingbird way tulelake ca 96134

JULY


Cousin it adams 1313 mockingbird way tulelake ca 96134

6/xx/xx


Cousin it adams 1313 mockingbird way tulelake ca 96134

JUNE


Keep area clean

KEEP AREA CLEAN


Cousin it adams 1313 mockingbird way tulelake ca 96134

12-31-2006


Cousin it adams 1313 mockingbird way tulelake ca 96134

LAST


Cousin it adams 1313 mockingbird way tulelake ca 96134

3/xx/xx


March

MARCH


Cousin it adams 1313 mockingbird way tulelake ca 96134

5/xx/xx


Cousin it adams 1313 mockingbird way tulelake ca 96134

MAY


Middle

MIDDLE


Monday

MONDAY


Month

MONTH


Cousin it adams 1313 mockingbird way tulelake ca 96134

Hello, my ___________

is Dracula.


Cousin it adams 1313 mockingbird way tulelake ca 96134

NAME


Cousin it adams 1313 mockingbird way tulelake ca 96134

11/xx/xx


November

NOVEMBER


Cousin it adams 1313 mockingbird way tulelake ca 96134

10/xx/xx


October

OCTOBER


Cousin it adams 1313 mockingbird way tulelake ca 96134

867-5309

348-3927


Phone number

PHONE NUMBER


Print

PRINT


Cousin it adams 1313 mockingbird way tulelake ca 96134

REPORT

Name Johnny Bravo

Description of Accident

I fell and broke my arm.

___________________


Report all accidents

REPORT ALL ACCIDENTS


Safety rules

SAFETY RULES


Saturday

SATURDAY


Cousin it adams 1313 mockingbird way tulelake ca 96134

9/xx/xx


September

SEPTEMBER


Cousin it adams 1313 mockingbird way tulelake ca 96134

John Doe

X _________________________


Signature

SIGNATURE


123 45 6789

123-45-6789


Social security number

SOCIAL SECURITY NUMBER


Cousin it adams 1313 mockingbird way tulelake ca 96134

WV

CA

AZ

OR

AK

WA

UT

NY

NV

NM

ID

VA

CO

MT


State

STATE


Sunday

SUNDAY


Thursday

THURSDAY


Tuesday

TUESDAY


Use ear proctection

USE EAR PROCTECTION


Watch for trucks

WATCH FOR TRUCKS


Wear safety glasses

WEAR SAFETY GLASSES


Wednesday

WEDNESDAY


Cousin it adams 1313 mockingbird way tulelake ca 96134

1492

1776

2005

1812

1991


Cousin it adams 1313 mockingbird way tulelake ca 96134

YEAR


Cousin it adams 1313 mockingbird way tulelake ca 96134

77831

96134

97601


Zip code

ZIP CODE


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