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-1� 17,181� 20 21-,22;25 <br />s ., aft �. <br />._Res rche Deer Lic/Re Ali <br />.MDNR#: 285-669s-008 <br />ISAAC INGAL NELSON <br />1270 GOOSE LAKE FAD <br />SAINT PAUL, MN 5511 04139 <br />COOS:10/2511983 Height: 5'9 0 <br />_ hlle�i ht:. 175LBS <br />Drivers License; GOfi7041�3s213 9., <br />Firearm safety: Eyes: <br />MALE <br />Ekes: BROWN <br />Fees Archery Deer Lid <br />Season: Ali $3; , 04 <br />z <br />Harvest Reg. : 161409008 <br />'registration ofyour animal is are mandatory,Pleas <br />1-883.�`Ofi-fi367 lagan to www.m e call <br />agent lace. tian. Be re ndnr,gavlhunting, or visit an <br />prepare d-with the following information. <br />Write your confirmation number an the line below w <br />registration is complete, when <br />1. Harvest.Reg #: 161408008... _.. <br />2, Permit Area°(3digit" number) , IIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIII <br />3. Type of Deer' �v"� <br />4, Date of:kill � <br />Registration CZ�hm'o #; <br />Licensee Signature: <br />-------------- <br />I certify that 1 meet the citizenship requirements and have maintained a <br />gal residence in the state for a period of 64 days immediately preceding <br />Ene date of this application. lily license(s) are not otherwise revoked. <br />Trans #: 060870964 Agent: 082016 <br />Issued: 10110/202017:45 Terminal: 52291254 <br />