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Ponca City News

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Saturday, December 10, 2016
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Birth Notice
Name of Parents
Required
[Misc1]
Town of Residence
Required
[Misc2]
Baby's Full Name
Required
[Misc3]
Date of Birth
Required
[Misc4]
Gender
Required
[Gender]
Place of Birth
Required
[Misc5]
Relations 
Names of Siblings (first and last) [MiscLongText1 breaks="
"]
Contact Information 
Your Name
Required
[ContactName]
Phone Number
Required
[ContactPhone]
E-mail Address
Required
[ContactEmail]
 
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