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PERONAL INFORMAITON

NAME: EDDY WIDJAJA
SSN#572758084
DOB:11/9/1963
EMAIL: eddywidjaja1208@gmail.com

PHOME:
ID: C1675295


NAME: MERCI OKTIANA SAFITRI
SSN#602694798
EMAIL: eddywidjaja1208@gmail.com

DOB:10/18/1970
PHOME:
ID: C1675295


ADDRESS 
217 SCERRITOS AVE , AZUSA CA 91702

Dependents 

COMPANY 

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