___l_____________________________._____
___l_____• PRΣNǾM : CÄROLE ______'
___l_____• SURNǾM : CÄ2RÖ________''_
___l_____• NΣΣ LΣ : 1o NOVEMBR'__
___l_____• AGΣ : 1* ANS________'_'___
___l_____• VILLΣ : LGE (4o4o)____'_...__
___l_____• ŚTÀTUT : PRIÏZ _______'._
___l_______________.___________________
___l___________________________________
__________________________________________
______________________________________
__________________________________________
_______* ____ LÜV' ___ Y ' oÜ * . x.3'
__________________________________________
______________________________________
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