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FEDERAL HOME LOAN BANK BOARD Date: _AbrAL a 1969 Office of Applications 101 Indiana Avenue, N. W, Re: Thomas H. Wakefield et a Washington, D.C, 20052 e Key Biscafne, Florida THIS IS A REQUEST FOR Name: Mr. Charles Gregory)}p . Sitomex : ‘Name of Spouse: Special Numbers,” Titles, awards, ete, Claire Gentry (deceased) a Social Security i 66-14-7646 Other Names, Nicknames, Maiden Name Organizations Marital Status: . ai Married a) Single {7 Widowed {i Divorced or Separated Name and Address of Present Employer Current Resi e President Monroe Land Title Co. and . 90 Bay Tane—— ashwell, Inc. and President & chairman Key Biscayne, Florida of Board of Key Biscayne Bank nares Employers for Past 15 Years Residences for Past15 Years 1952 to 1958-315 W. McIntyre Street . Key Biscayne, Florida . Same as above oe . ; 19.58 to date : - Same as } above (This space for use of agency conducting check)’ * . - Fa se ree ingame nee dee ae Lo oeeistenda ee oe FHLBB FORM 234 AUGUST 4067