Costco Connection - August 2011

All about me:

I was born in the year ______ in the beautiful

(#)

city of ____________. My mother’s maiden

 (#)
(#)(date)
 (city)
 (street name)
 (location)

name is ______________. Growing up, my

 (name[s])
(last name)

favorite house was the one on ___________
Street. Now I’m _______ years old and live in

(#)

downtown _____________________. My spouse’s
name is ______________. Our anniversary date

(name)

is ____________. We have _____ lovely child(ren),
named _______________________________________.
My Social Security number is _____-____-______.
Signed: _______________________________________

(signature)

Can you ;ll in the blanks?

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