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Get GA DS-516 2004

Card as provided for in Chapter 5 of Title 40 of the Official Code of Georgia Annotated. Applicant Deceased Or Disabled Veteran's Information Name:__________________________________________ (First) (Middle) (Last) Residence Address:________________________________________ (Street and No.) Name:___________________________________________ (first) (Middle) (Last) Date of Birth:______________________________________ Date of Death:_____________________________________ ___________________________.

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