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Get Va 21-0781 2007

ATTALION, CAVALRY, SHIP) KILLED IN ACTION WOUNDED IN ACTION KILLED NON-BATTLE 8C. DATE OF INJURY/DEATH (Mo. day, yr.) INJURED NON-BATTLE 9. REMARKS I certify that the foregoing statement(s) are true and correct to the best of my knowledge and belief. 10. SIGNATURE 11. DATE 12. TELEPHONE NUMBERS (Include Area Code) DAYTIME EVENING PENALTY - The law provides severe penalties which include fine or imprisonment or both, for the willful submission of any statement or evidence of a material.

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