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First Name

Omar

Last Name

Vazquez

Entry Number

2nd

Address

4655 SW 142 Ave #196

City

Beaverton

State

OR

Zip

97005

Phone Number

 

School

Chehalem Elementary

Grade

4th Grade

Parent or Guardian Name

Reyna Resendiz

Processed

Yes

Attachments

Created at 11/1/2012 12:38 PM by  
Last modified at 11/20/2012 11:13 AM by Nicki McMillan