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AINTIFF G ATTORNEY FOR DEFENDANT DEFENDANT NATURE OF CASE: G DIVORCE G SEPARATION G ANNULMENT G OTHER ITEM PLAINTIFF DEFENDANT FULL NAME BIRTH OR MAIDEN NAME ADDRESS STREET, APT. NO. TOWN/COUNTY, STATE, ZIP HOME TELEPHONE NUMBERS W ORK HOME CE LL W ORK CE LL SOCIAL SECURITY NUMBER XXX - XX - XXX - XX - DATE OF BIRTH PLACE OF BIRTH (State or Country) RACE HIGHEST GRADE HAWAI I RESIDENT SINCE CIRCUIT RESIDENT SINCE PRIMARY EMPLOYER (Name and Address) JOB TITLE WORK SCHEDULE LE.

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