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BEFORE THE LAWYER DISCIPLINARY BOARD

BEFORE THE LAWYER DISCIPLINARY BOARD City Center East, Suite 1200 C 4700 MacCorkle Avenue SE Charleston, West Virginia 25304 (304) 558-7999 Facsimile (304) 558-4015 Website: Date: _____ 1) Complainant: Mr. ( ) Your Name Ms. ( )_____ [First] [Initial] [Last] Your Address: _____ [Street/Post Office Box] _____ [City] [State] [Zip] Your Telephone: _____-_____-_____ [Home] _____-_____-_____ [Business] [Note.]

BEFORE THE LAWYER DISCIPLINARY BOARD City Center East, Suite 1200 C 4700 MacCorkle Avenue SE Charleston, West Virginia 25304 (304) 558-7999 …

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