| First Name | John  | 
								
| Last Name | Clark  | 
								
| Nickname | jclark  | 
								
| City or Nearest City | Fox River Grove  | 
								
| State / Province / Region | Illinois  | 
								
| Country | United States  | 
								
| Membership Type | Supporter  | 
								
| Member Number | S1025  | 
								
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