| Document Date: 2015-06-08 14:29:39
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City Wright City / Smithville / Buffalo / Durant / / Company District / / / Event Product Issues / / Facility Bethel District / X WE DO NOT ACCEPT HOSPITAL / Fort Towson District / / / NaturalFeature Buffalo Valley / / Organization Choctaw Nation Chief and Tribal Council / Election Board / / / Position state registrar / Council Member / Chief / / Product Bow / / ProvinceOrState Oklahoma / Quinton District / Calera District / Heavener District / Towson District / Caddo District / Valliant District / Spiro District / / |
Certificate of Degree of Indian Blood Card Application for the Choctaw Nation of Oklahoma Is Applicant Adopted? Yes ____ No ____ If Answer is yes, list Natural Parents. See instructions on 2nd page in case of adoptions.