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Old 04-03-2011, 08:40 PM   #1
bobby8c4q2t
 
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Default 新春第一剽

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民国三十五年七月X日

姓名 张桂莲
年龄 二十五
籍贯 山东
住所 桃园二十六号
为娼原因 被贫所迫
有无本夫及亲族 家有幼弟
是否自愿 自愿
由何而来 由昌
从业场所 长春市桃园路二十六号怡春堂

谨呈长春警察局转呈长春市政府

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