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PENNSYLVANIA CHILD ABUSEHISTORY CERTIFICATION

ELIZABETH BYERS

29 CEMETERYRDFLEETWOOD, PA 19522

CERTIFICATION ill: NMGVJ62GMO

CERTIFICATION PURPOSE: EMPLOYMENT

VERIFICATION DATE: 12119/2016

-SOCrAL-SECURITY#:XXX=XX-OD91

DATE OF BIRTH: 112711983

ISSUED BY Commonwealth of PennsylvaniaDepartment of Human Services

CHILD LINE AND ABUSE REGISTRYChildLine Verification Unit

P.O. Box 8170Harrisburg, PA 17105-8170

1-877-371-5422

046390 CY8930 - 6100

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