Bible Salvation made Crystal Clear

A Special Message for You!

By Evangelist Robert L. Sumner


Men and brethren, children of the stock of Abraham, and whosoever among you feareth God, to you is the word of this salvation sent … 

    “Be it known unto you therefore, men and brethren, that through this man is preached unto you the forgiveness of sins:

    “And by him all that believe are justified from all things, from which ye could not be justified by the law of Moses.”

                                                            – Acts 13:26, 38-39, emphasis added


Dr. Robert L. Sumner

Note especially the words in the above text we have emphasized: “to you is the word of this salvation sent.” It is not alone a message to the “children of the stock of Abraham,” but it is for anyone who fears God. In other words, it is a message of salvation directed by God to you!

It is a “sent” message. God sent this message through His Son. In I John 4:9, 10, we read: “In this was manifested the love of God toward us, because that God sent his only begotten Son into the world, that we might live through him. Herein is love, not that we loved God, but that he loved us, and sent his Son to be the propitiation for our sins.”

It is also a message sent by God through His Word. In II Peter 1:19-21 we are assured: “We have also a more sure word of prophecy; whereunto ye do well that ye take heed, as unto a light that shineth in a dark place, until the day dawn, and the day star arise in your hearts: Knowing this first, that no prophecy of the scripture is of any private interpretation. For the prophecy came not in old time by the will of man: but holy men of God spake as they were moved by the Holy Ghost.” This message of redemption is one divinely inspired, directed with the accuracy of the Holy Spirit of God Himself.

Yet God not only sent this message to you through His Son and His Word, but it is sent through His servants. That is why we are told in II Corinthians 5:18-20: “And all things are of God, who hath reconciled us to himself by Jesus Christ, and hath given to us the ministry of reconciliation; To wit, that God was in Christ, reconciling the world unto himself, not imputing their trespasses unto them; and hath committed unto us the word of reconciliation. Now then we are ambassadors for Christ, as though God did beseech you by us: we pray you in Christ’s stead, be ye reconciled to God.”

If you have never received the Lord Jesus Christ as your own personal Savior, if you are not absolutely certain that if you were to die this moment you would step immediately into His glorious Heaven, then God is sending this message to you today through this writer. I am, in His stead, pleading with you to be reconciled to God.

You see, not only is this special message a sent one, but it is a “salvation” message as well. As Paul told the people at Antioch, “To you is the word OF THIS SALVATION sent.” In other words, it is a message about how to be saved, about how to miss Hell, about how to gain Heaven, about the wiping out of all your sins and transgressions for eternity! No greater or more blessed message was ever announced to anyone than this message to you from Almighty God!

Note some simple truths about this salvation message God is sending you.



     Verse 38 announces: “Be it known unto you therefore, men and brethren, that through this man is preached unto you the forgiveness of sins.” The one described as “this man” is the one Paul had already announced as the Son of David, “A Savior, Jesus” (Vss. 22, 23).

A. Salvation Only In Jesus Christ

There is absolutely, positively no salvation apart from Him! How strong was Peter’s statement to the Sanhedrin in Acts 4:10-12 where he thundered: “Be it known unto you all, and to all the people of Israel, that by the name of Jesus Christ of Nazareth, whom ye crucified, whom God raised from the dead, even by him doth this man stand here before you whole. This is the stone which was set at nought of you builders, which is become the head of the corner. Neither is there salvation in any other: for there is none other name under heaven given among men, whereby we must be saved.”

Nothing could be plainer than this!

The entire issue of “condemned” or “not condemned” is settled by what an individual does with the Lord Jesus Christ. In John 3:18 we are told, “He that believeth on him is not condemned: but he that believeth not is condemned already, because he hath not believed in the name of the only begotten Son of God.” And in verse 36 of the same chapter it is emphasized again: “He that believeth on the Son hath everlasting life: and he that believeth not the Son shall not see life; but the wrath of God abideth on him.”

This issue of redemption only in Christ is summed up plainly in words no one can miss in I John 5:12 with divine insistence: “He that hath the Son hath life; and he that hath not the Son of God hath not life.” That’s it. Regarding eternal life, you either have it or you don’t have it according to your relationship to God’s dear Son, the Lord Jesus Christ. Salvation rises or falls, is confirmed or denied, though Him and Him alone.

Dr. Lee Roberson told of a German statesman approaching death, a man who had been an agnostic through his long life of service to his beloved country. There was a Christian minister in the community for whom he had respect, however, and he invited him to come to his home and talk to him about God.

There was one stipulation to the invitation, however: he must not mention the name of Jesus Christ a single time in the discussion. While he welcomed teaching about the love of God, he did not want it to include Jesus of Nazareth.

Strangely, the minister agreed and in the first session he discussed at great length the love of God. Since God has manifested His love in so many ways, this was not difficult to do without referring to Jesus Christ. After an hour or so he closed the discussion, still without mentioning the Name of Christ, and left.

On his second visit the minister talked about God’s power and wisdom, still discreetly refraining from a reference to the Lord Jesus Christ. His third visit discussed the holiness of God, His hatred of sin, and the absolute necessity of righteous judgment being poured out upon every sin. The clergyman called attention to the fact that God could not condone sin in any form and still be holy Himself.

At the conclusion of that discussion the statesman turned to the preacher and noted that he had said strong things, indeed. He added, “Isn’t there a solution? Can’t anything be done to escape the judgment of God against sin?”

When he returned he readily realized that the Holy Spirit had been working in the dying man’s heart and the latter greeted him, insisting, “You must tell me the whole story. In these past few days you have talked about God’s love, about His wisdom, and even about His judgment. Is there no solution? Is this all there is to God’s message?”

The preacher stood by his bed and looked directly into his eyes, replying, “No, I have not told you the whole story, but it is all I can tell you under the circumstances. You have forbidden me to mention the name of the Lord Jesus Christ, and apart from Him there is no solution.”

Immediately the statesman responded, “Sir, I apologize. Please tell me how my sins can be forgiven; tell me about this One who can pardon my iniquity and release me from the judgment of Hell which hangs over my head. I do want to know God’s truth.”

Naturally, the man of God opened the Word of God and explained the redemption through the Lord Jesus Christ to the dying sinner, who then happily placed his faith in Him and received the divine pardon. But the preacher was right: there is no message, we have absolutely nothing to say, apart from the Lord Jesus Christ! This special message of salvation to you hinges totally upon the Son of God.

B. All Is Based Upon Him!

There is nothing about this salvation which does not hinge upon Jesus Christ. Everything about it rests upon what He has done to provide a redemption.

It was His WISDOM that thought it. We are told in Romans 11:33, “O the depth of the riches both of the wisdom and knowledge of God! how unsearchable are his judgments, and his ways past finding out!” no mere mortal could have ever even planned – to say nothing of provided – such a salvation.

It was His GRACE that bought it. Paul declared in Romans 3:24, 25: “Being justified freely by his grace through the redemption that is in Christ Jesus: Whom God hath set forth to be a propitiation through faith in his blood, to declare his righteousness for the remission of sins that are past, through the forbearance of God.”

What the psalmist said about others is true of ourselves: “None of them can by any means redeem his brother, nor give to God a ransom for him” (Psalm 59:7). We simply had no price to pay, so He provided it for us.

Too, it was His LOVE that offered it. We are told in Romans 5:6-11: “For when we were yet without strength, in due time Christ died for the ungodly. For scarcely for a righteous man will one die: yet peradventure for a good man some would even dare to die. But God commendeth his love toward us, in that, while we were yet sinners, Christ died for us. Much more then, being now justified by his blood, we shall be saved from wrath through him. For if, when we were enemies, we were reconciled to God by the death of his Son, much more, being reconciled, we shall be saved by his life. And not only so, but we also joy in God through our Lord Jesus Christ, by whom we have now received the atonement.” William R. Newell expressed it so beautifully:

Oh, the love that drew salvation’s plan!

Oh, the grace that brought it down to man!

Oh, the mighty gulf that God did span

     At Calvary!

C. Amazement Upon Amaze-

ment: Christ Rejected!

How strange it is that, in the light of the above, wicked men will not accept Him, preferring to go on in sin and risk spending eternity in an unending, conscious Hell. This is especially strange since man by nature wants something for nothing; he is always seeking a bargain.

A case in point is the “Washington’s Birthday Sales” which have become so popular around the country every February. The craze started in 1919 when a haberdasher in our nation’s capital offered some shirts, which had been in his store window so long the sun had faded them, for 50¢ each. The crowds came and an annual sale was launched, one which soon spread beyond the confines of the District of Columbia, every February 22. Eventually the merchants were pricing their specials at 22¢ or $22, capitalizing on the day – or $17.76, taking advantage of the year our forefathers declared their independence from England.

The late Tom Olson described what he called “the zaniest of all” zany birthday sales. One merchant offered a power mower for 22¢ and an elderly man shivered outside the store all night long in order to be the first customer. So excited was he over his accomplishment that he rushed off without getting change from his $20 greenback!

This gentleman was not alone and others either stood in line or slept on the sidewalk all night to grab the bargains when the stores opened. Among them was a 14-year-old lad, wrapped in blankets, whose diligence was rewarded with a 22¢ typewriter. In one suburb of Washington, a lucky buyer purchased a 12-year-old automobile for $17.76! And in another suburb, a man spent the night in an automobile being offered for $22 (he brought an electric blanket and plugged it in the lighter socket).

After recounting these incidents Olson remarked: “It is amazing what strange things people will do in order to get bargains! But when it is a matter of accepting gifts, the values of which infinitely outweigh all bargains, they ‘haven’t the time’! They would not think of losing sleep, or of inconveniencing themselves in the least.

“Multitudes of people will watch TV, listen to radio, and peruse newspapers to learn where merchandise will be put on sale at bargain prices.

“Comparatively few persons will read the Bible or listen to preachers to learn that they can be ‘justified freely by his grace through the redemption that is in Christ Jesus’ (Romans 3:24).”

Yes, this salvation is for you!

Again, it is,



     This offer is not for the cancellation of a note on a new automobile or the payment of a mortgage on a home. No, this is an offer outweighing anything and everything else.

A. “Forgiveness of Sins”

Note again the statement: “through this man is preached unto to you the forgiveness of sins.” Here is something all need, since all are sinners. Romans 3:22, 23 express it like this: “…for there is no difference: For all have sinned, and come short of the glory of God.” In this respect – the fact of sin – there is no difference between the down-and-out and the up-and-out.

Solomon, in his wisdom, rightly concluded: “For there is not a just man upon earth, that doeth good, and sinneth not” (Ecclesiastes 7:20).

How admirably the psalmist evaluated the situation when he wrote: “Hear me when I call, O God of my righteousness: thou hast enlarged me when I was in distress; have mercy upon me, and hear my prayer. O ye sons of men, how long will ye turn my glory into shame? how long will ye love vanity, and seek after leasing? Selah. But know that the LORD hath set apart him that is godly for himself: the LORD will hear when I call unto him.” (Psalm 4:1-3). Not one individual is excluded or excepted; here is a mini-biography of us all.

Not only is forgiveness of sin something all need, but it is available for all who want it. Remember what Peter told Cornelius and the crowd assembled in his home, waiting to learn how they might be accepted by God. He declared, “Of a truth I perceive that God is no respecter of persons” (Acts 10:34). And then he added in verse 43, “To him give all the prophets witness, that through his name whosoever believeth in him shall receive remission of sins.”

Ah, that is the key: “whosoever!”

That is why even Isaiah, ministering during the dispensation of legalism, could boldly announce: “Come now, and let us reason together, saith the LORD: though your sins be as scarlet, they shall be as white as snow; though they be red like crimson, they shall be as wool” (Isaiah 1:18).

Paul, in the dispensation of grace, could only confirm Isaiah’s truth: “This is a faithful saying, and worthy of all acceptation, that Christ Jesus came into the world to save sinners; of whom I am chief” (I Timothy 1:15).

No wonder the Bible concludes with the invitation: “And the Spirit and the bride say, Come. And let him that heareth say, Come. And let him that is athirst come. And whosoever will, let him take the water of life freely” (Revelation 22:17). Yes, it is “whosoever will.”

Dr. R. A. Torrey tells a beautiful story which illustrates this matter exactly. During the days when he pastored what is now the Moody Church in Chicago, one of his godly ladies invited a fallen woman to the services. The latter bluntly refused, insisting that going to church was very definitely “not for the likes of me.” She declared that there could be and would be no welcome for her.

The child of God insisted that her church was different and she would, indeed, find a warm welcome. The fallen woman lamented that such couldn’t possibly be true and so all of the Christian lady’s pleas fell on deaf ears. Even the offer to accompany her was rejected.

Finally, however, the saint’s persistence paid off and the sinner reluctantly agreed to attend one time, stating the conditions under which she would do so. Saying that the Christian’s testimony would be impaired if seen walking with such a sinner, the latter demanded that the saint proceed up the avenue several feet ahead. And up LaSalle Avenue they went until they reached the intersection at Chicago Avenue where the church was located.

Part of the agreement was that the two not enter the church together, so the Christian lady went in and took her usual seat. The other looked in the door and saw an empty seat in the last row, under the balcony, went to it, then settled back to listen.

The service was already in progress and Dr. Torrey had just announced his text, “There is therefore now no condemnation to them which are in Christ Jesus” (Romans 8:1). He passionately declared, “If the vilest woman in Chicago should come into this church this morning, and should here and now accept Jesus Christ as her Lord and Savior, that very moment every sin she had ever committed would be blotted out and her record would be as white in the sight of God as that of the purest woman in the room.”

Torrey knew nothing, of course, of the fallen woman on the back row. But the Spirit of God took the words and drove them into the heart and soul of the hungering, thirsting sinner. And when the message was concluded, down the aisle came the sinful woman, tears streaming down her face, to claim the Christ who loved her and the redemption He so freely offered.

Yes, this salvation is one of “forgiveness of sins.”

B. “Justified From All Things”

It is one thing to be pardoned; it is still another to be declared righteous. So our text adds in verse 39, “By him all that believe are justified from all things, from which ye could not be justified by the law of Moses.”

The word “justify” means “to reckon righteous,” or, “to declare righteous.” Our record of sin is completely wiped out when we come to Him; we are absolutely blameless before Him! It makes absolutely no difference how vile or how vicious our iniquity has been, the Word of God insists, “all things.” Glory to God!

Some time ago a friend in the ministry wrote to rejoice about a revival in his church. Among those saved was a 40-year-old man who had been seeking his father for 26 years, hoping to find him and kill him. Now the man wanted to find his father to tell him about the Lord Jesus Christ and the forgiveness of sin available through Him!

To be justified means that the one forgiven can never be brought to account by God for his or her sins. As Jesus said in John 5:24, “Verily, verily, I say unto you, He that heareth my word, and believeth on him that sent me, hath everlasting life, and shall not come into condemnation; but is passed from death unto life.” Never, never will the one in Christ be brought into condemnation; his record is forever wiped clean!

The Apostle Paul enthused about this: “There is therefore now no condemnation to them which are in Christ Jesus, who walk not after the flesh, but after the Spirit … Who shall lay any thing to the charge of God’s elect? It is God that justifieth. Who is he that condemneth? It is Christ that died, yea rather, that is risen again, who is even at the right hand of God, who also maketh intercession for us” (Romans 8:1, 33-34).

Our friend and former columnist, the late Bill Harvey, wrote about this so beautifully:

I came to the River, destruction,

   And the bridge that went over was Law,

My burden too large for the crossing,

   Kept me from that City I saw.


I wept, in despair, for deliv’rance,

   My burden was all of my sin.

Then Jesus took all on His shoulder!

   And told me, “You’re free! Enter in!”


I’m JUSTIFIED, I’m happy in Jesus, today.

   The sins I have committed are all in

          the past,

They will never condemn me, for He holds

          me fast!


          happy in Jesus, today!
There was a lovely, moving, sweet illustration of justification which took place in Dallas nearly three-fourths of a century ago. A Methodist minister’s wife, Mrs. W. E. Hawkins, had just turned on to Tenth Street from Edgefield when she heard a honking behind her and looked back to see a gruff looking policeman with brass buttons all over his uniform motioning for her to pull over. Her heart began to pound and she found herself so flustered she had difficulty blurting out a question as to what she had done.

As he wrote on the pad he responded, without even looking up, “You ran a stop sign at the boulevard.” And he handed her the pad and indicated where she should sign her name. The officer informed her that in five days she was to appear in court and pay the fine for her violation. With tear-filled eyes she managed to drive home, where she went immediately to the one she knew loved her devotedly. She handed her husband the ticket and confessed her guilt in the matter.

When he saw how troubled and upset she was, he assured her that he would take care of it for her. He tenderly said, “Don’t worry about it. Just turn it over to me and I will handle it for you.”

Thus it was that five days later, when Mrs. Hawkins was supposed to be in court, her preacher husband was there in her place. When her name was called he answered and approached the bench.

The judge inquired, “Are you representing Mrs. Hawkins?”

“Yes, your Honor.”

“Is she guilty?”

“She is.”

The judge sternly responded, “She’s fined $3.” That may be an insignificant sum today, but it was big money back then.

Mrs. Hawkins’ substitute told the judge, “I will pay it for her,” and he took out his billfold and removed three $1 bills, laying them on the table. An hour later he was home again, placing in Mrs. Hawkins’ hands her pardon – signed, sealed and delivered!

She was free from the claims of the law! She had not done a thing nor paid a thing to gain that pardon, but it was hers through the grace of one who loved her. As sweet as this story is, it pales almost into insignificance when compared to the message and justification available in Christ. Because of our sin, we deserved the judgment and condemnation of the law of God. We could do nothing; we could pay nothing. Yet the holy Son of God came to this earth – and died in our place – to settle the claims of the divine law once and for all. Galatians 3:13 expresses it, “Christ hath redeemed us from the curse of the law, being made a curse for us: for it is written, Cursed is every one that hangeth on a tree.”

Have you claimed this forgiveness and justification in Christ?



     How simple it is to be forgiven and justified by God! Verse 39 of our text says, “And by him all that believe are justified from all things ….” God’s offer is all-inclusive!

A. Only Way Any Saved in

The Past

How were the Old Testament sinners forgiven and justified? They were saved by grace, through faith.

Consider the case of Abel. It says in Hebrews 11:4, “By faith Abel offered unto God a more excellent sacrifice than Cain, by which he obtained witness that he was righteous, God testifying of his gifts: and by it he being dead yet speaketh.”

Consider the case of Enoch. In Hebrews 11:5, 6 we are told: “By faith Enoch was translated that he should not see death; and was not found, because God had translated him: for before his translation he had this testimony, that he pleased God. But without faith it is impossible to please him: for he that cometh to God must believe that he is, and that he is a rewarder of them that diligently seek him.” In other words, it was true of Enoch and what was true of him is true of all. Faith is a “must.”

Consider the case of Abraham. In Genesis 15:6 we are told: “And he believed in the LORD; and he counted it to him for righteousness.” And the Apostle Paul expanded on this by telling the Church at Rome: “What shall we say then that Abraham our father, as pertaining to the flesh, hath found? For if Abraham were justified by works, he hath whereof to glory; but not before God. For what saith the scripture? Abraham believed God, and it was counted unto him for righteousness. Now to him that worketh is the reward not reckoned of grace, but of debt. But to him that worketh not, but believeth on him that justifieth the ungodly, his faith is counted for righteousness” (Romans 4:1-5).

What was true of Abel, Enoch and Abraham was equally true of David. Romans 4:6-8 tells us: “Even as David also describeth the blessedness of the man, unto whom God imputeth righteousness without works, Saying, Blessed are they whose iniquities are forgiven, and whose sins are covered. Blessed is the man to whom the Lord will not impute sin.”

No one in the Old Testament obtained forgiveness of sin and justification before God in any other manner than by grace, through faith!

The same was true of those concerted in New Testament times. The woman who was a sinner, in Luke 7, was told by Jesus, “Thy sins are forgiven” (Vs. 48). Then He explained to the woman, “Thy faith hath saved thee; go in peace” (Vs. 50). What saved her? Her faith!

On the day of Pentecost, when Peter preached to the multitudes and explained the salvation available in Christ, he quoted the Prophet Joel: “And it shall come to pass, that whosoever shall call on the name of the Lord shall be saved” (Acts 2:21).

Later, during the persecution at Jerusalem which followed Peter’s second sermon, we are told: “Howbeit many of them which heard the word believed; and the number of the men was about five thousand” (Acts 4:4).

At the time of our text, when Paul preached his sermon at Antioch, he told them, “Be it known unto you therefore, men and brethren, that through this man is preached unto you the forgiveness of sins” (Acts 13:38).

Who was included in that “you” here? The Jews were included, of course; verse 39 says, “And by him all that believe are justified from all things, from which ye could not be justified by the law of Moses.” This was an offer to the “men and brethren” of Israel who were under the Law of Moses. They could receive forgiveness and justification simply by believing.

The same was true of the Gentiles, and we read in verse 48, “And when the Gentiles heard this, they were glad, and glorified the word of the Lord: and as many as were ordained to eternal life believed.” That is, the Gentiles who were “found disposed to eternal life,” as the text is literally saying, believed and the salvation was theirs that very moment!

B. The Only Way Any Saved

in Our Day!

Not only was believing the only way Old and New Testament sinners were able to receive forgiveness and justification, but it is also the only way to be saved in our day.

Recall the trembling warden who fell down before Paul and Silas, following the earthquake, and then pleaded, “Sirs, what must I do to be saved? And they said, Believe on the Lord Jesus Christ, and thou shalt be saved, and thy house” (Acts 16:30, 31). There has never been any other answer to that question, nor is there at this hour.

A quick look in the Gospel of John confirms the way in its simplicity: “He came unto his own, and his own received him not. But as many as received him, to them gave he power to become the sons of God, even to them that believe on his name … And as Moses lifted up the serpent in the wilderness, even so must the Son of man be lifted up: That whosoever believeth in him should not perish, but have eternal life. For God so loved the world, that he gave his only begotten Son, that whosoever believeth in him should not perish, but have everlasting life. For God sent not his Son into the world to condemn the world; but that the world through him might be saved. He that believeth on him is not condemned: but he that believeth not is condemned already, because he hath not believed in the name of the only begotten Son of God … Verily, verily, I say unto you, He that heareth my word, and believeth on him that sent me, hath everlasting life, and shall not come into condemnation; but is passed from death unto life … Jesus said unto her, I am the resurrection, and the life: he that believeth in me, though he were dead, yet shall he live: And whosoever liveth and believeth in me shall never die. Believest thou this?” (John 1:11, 12; John 3:14-18; John 5:24; John 11:25, 26).

The Apostle Paul emphasized the same truth in Romans 1:16, “For I am not ashamed of the gospel of Christ: for it is the power of God unto salvation to every one that believeth; to the Jew first, and also to the Greek.”

Because so many are under the erroneous impression that one can obtain forgiveness and justification through good deeds, Galatians 2:16 emphasizes, “Knowing that a man is not justified by the works of the law, but by the faith of Jesus Christ, even we have believed in Jesus Christ, that we might be justified by the faith of Christ, and not by the works of the law: for by the works of the law shall no flesh be justified.”

And in the next chapter, the apostle pointed out, “For ye are all the children of God by faith in Christ Jesus.” He did not say that all are the children of God; he said that all are the children of God “by faith in Christ Jesus.” That is the way it has always been and that is the way it is at this hour.

Decision for Christ

We started this message by reminding the reader that this is a special message for you – sent through God’s Son, His word, and His servant. Our text tells us, “… that through this man is preached unto you the forgiveness of sins: And by him all that believe are justified from all things, from which ye could not be justified by the law of Moses.”

So the message is “unto you … that believe.”

Will you accept this “special message” to you from God? Like a registered letter, there is a sense in which it must be “signed” for.

As a minister, I am simply God’s mailman, His delivery boy. Don’t make me report in your case, “Refused – Return to Sender!” Instead, this very moment, claim the forgiveness and justification available to you through the Lord Jesus Christ.

If you will surrender to Christ today, write and let me know so that I can join in Heaven’s rejoicing. If you will do so, we will send you a letter of counsel and instruction about a right start in the Christian life. Either let us know in your own words, or, if you prefer, you may use the following form:


Evangelist Robert L. Sumner


5717 Pine Drive

Raleigh, NC 27606


Dear Brother Sumner:


I have read your sermon, “A Special Message For You!” Since God sent this message through His Son, His Word and His servant, I would be both foolish and wicked not to accept it. This very moment, believing that Jesus died for my sins on the cross of Calvary and was raised again for my justification the third day, I claim Him as my Lord and Savior.

I am willing to trust the promise Peter quoted from Joel, “And it shall come to pass, that whosoever shall call on the name of the Lord shall be saved,” and I call upon Him right now to save me. This very moment I place my future destiny, both for time and for eternity, into His hands. I trust Him to give me a life worth living down here, and a home in his Heaven forever.

Please send me some information about how I can make my new life in Christ effective.


(Signed) ________________________________


Name __________________________________


City ___________________________________


State _________________ Zip ______________


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