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716/03 18:46 FAX 18144722127 _ GAMBRIA COUNTY PERSONNEL “djo02 Ape Calumbus’ Cereus AfKCS C Amb pie County. Cour¢ house CAMBRIA COUNTY PRISON Inmate Request Form (PRINT) pai! | ——_—_— ; Date: io O03 “OS To Gtaff or ee —- Request: To re, savin ry Ate ¢ Tu thea Bifale Cobble. ted fuckin, Kl ne tf? © will tip tor my lide tho Let tha Ab2 ifn Dlun 17 THE Ss" rye Staff Member Signatures. Date: *Duplication of this document is the sole responsibility of the Inmate,