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Sage Gypsy
Works at JustSmileHempCreations™
Attended Ketchikan High School, Harris Stowe State College
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Sage Gypsy

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Public Servant Questionnaire
This questionnaire must be filled-out by any public servant before he/she can ask the citizen any question. Federal law, including the Privacy Act, 5 U.S.C. 552a, 88 Stat. 1896, et seq., 1974, authorizes this.
1. Public servant's full legal name: _____________________________________
2. Public servant's residence address:_______________________________________________________________
______________________________________________________________________
3. Name of agency:______________________________________________________
4. Full legal name of supervisor and office address_____________________________
______________________________________________________________________
5. Will you as a public servant uphold the constitution of the United States?
 Yes  No
6. Did public servant provide proof of identity?
 Yes  No
7. ID number:_______________________________________
Badge Number:_____________________________________
Bonding agency and number:_____________________________
8. Will you as a public servant furnish a copy of the law or regulation that authorizes the action being taken or information requested in this case?
 Yes  No
9. Will you as a public servant provide in writing, that portion of the law authorizing the questions asked?
 Yes  No
10. Are answers voluntary or mandatory?
 Voluntary  Mandatory 
11. Are the questions being asked based upon a specific law or regulation, or are they a discovery process?_____________________________________________________
____________________________________________________________________
12. What other uses may be made of this information? ________________________
___________________________________________________________________
13. What other agencies may have access to this information? __________________
____________________________________________________________________
14. What will be the effect upon me if I should not choose to answer any or all of these questions? __________________________________________________________
___________________________________________________________________
15. Name of person in government requesting this information:_______________
_________________________________________________________________
16. Is this investigation general or special?
Note: by ‘general,’ it means any kind of blanket investigations in which a number of persons are involved because of geography, type of business income, etc. By ‘special,’ it means any investigation of an individual nature in which others are not involved.
____________________________________________________________________
17. Have you consulted, questioned, interviewed, or received information from any third party relating to this matter?
 Yes  No
If yes, give identity of all such third parties: (Use back of sheet if more area is needed.)
1. ________________________________________________________________
2. ________________________________________________________________
3. __________________________________________________________________
4. __________________________________________________________________
18. Do you reasonably anticipate either a civil or criminal action to be initiated or pursued based upon any of the information, which you seek?
 Yes  No
19. Is there a file of records, information, or correspondence relating to me being maintained by this agency?
 Yes  No
20. Is this agency using any information on me, which was supplied, by another agency or government source?
 Yes  No
21. Will the public servant guarantee that any other department other than the one by which he is employed will not use the information in these files?
 Yes  No
I hereby sign and affirm under the penalty of perjury that the answers are true and correct in every particular.
___________________________________ _____________________
Signature of public servant Date
Notice: If any person or agency receives any request for information relating to me, you must advise me in writing before releasing such information. Failure to do so may subject you to possible civil or criminal action as provided by this act or other law(s).
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Sage Gypsy

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what are your plans for the saturday panel?
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Sage Gypsy

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Just Smile Hemp Creations 
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Sage Gypsy

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8:39 What is the purpose of the bendi at the hairline? I have been told that the bindi placed between the brows is for married woman. Is this correct?
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Sage Gypsy

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I celebrated my 16th birthday at Ward Lake.  When it froze over, my folks would drive the car with us kids onto the lake doing all sorts of wheelies!!!!
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Leave it to power companies to destroy a swamp just so they can create more light pollution.
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Have her in circles
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Sage Gypsy

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the dignity harbor vids will not play. anyone else have this problem? The other videos on you tube work
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They are now working!!!

Sage Gypsy

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very relaxing, thank you
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Who is going to this event?
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Sage Gypsy

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I lived in Ketchikan from 1968-1977  I still call it home!
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Thanks Raven Wolf for posting your music!!!  
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W I T C H E S's profile photo
People
Have her in circles
138 people
brandon mitchell's profile photo
Tom Galosi's profile photo
ShyamaKaran Dubey's profile photo
Stampylonghead Minecraft Xbox's profile photo
Stuart “Shoot” Andrews's profile photo
Indra Otsutsuki's profile photo
Maria Guadalupe Massey's profile photo
Mark Sherman's profile photo
Kathy Armstrong's profile photo
Education
  • Ketchikan High School, Harris Stowe State College
Links
YouTube
Story
Tagline
JustSmileHempCreations&Divinations
Introduction

I am the creator and owner of Just Smile Hemp Creations featuring 100% Hemp Knot Key Rings and Jewelry Catch up with me at the local Coffee Houses, Open Mikes, Poetry Slams, Farmers Markets, Pagan Festivals and Rainbow Gatherings of Living Light 


Bragging rights
Divination Intuitive for 10+ Years!!!
Work
Occupation
Divination and Manifestation
Skills
Weaving Hemp, Divination
Employment
  • JustSmileHempCreations™
    DivinationSpecialist, present
    Creating Jewelry and Divining Mysteries
Basic Information
Gender
Female
Sage Gypsy's +1's are the things they like, agree with, or want to recommend.
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Самая скачиваемая утилита очистки и ускоритель оперативной памяти для ОС Андроид в мире от производителя из первой мировой десятки.Заслужило

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After visiting the Miami location of CEC wheels, the quintessential off-roader vehicle, the Jeep Wrangler, has transformed into the ultimate

Mayor pushing to end franchise agreement with Certified Farmers Market
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CHICO — Mayor Mary Goloff is seeking to terminate the franchise agreement for the Chico Certified Farmers Market, looking to put an end to i

Oregon Officially Adds PTSD As A Qualifying Medical Marijuana Condition
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Governor John Kitzhaber signed Senate Bill 281, joining Oregon with three other states – Connecticut, Delaware, and New Mexico – which allow

Product Verification
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North America's Only Independent Verification of Non-GMO Products The retailers who started the Non-GMO Project were motivated by a simple i

Why Everyone Should Care About Libraries
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Please help us in our campaign to keep libraries across New York City open, stocked, and staffed.

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15th May 2013. Sree Shanakarachayra Jayanti Malayalam Edava Masam begins. Tamil Vaikasi Masam begins. Jyeshta Month begins in Bengali Calend

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This gathering will be April 29-May 5 on public land, somewhere north of Bakersfield and south of Sacramento. We, who are brothers & sisters

SolarFlower.org
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Main website for SolarFlower; the open source, home makeable solar energy device. Tutorials, forums, maps, etc.

Hemp Jewelry by JustSmileJewelryandTarot™
www.listia.com

Custom Made Hemp Bracelets, Ankelets and Necklaces by JustSmileJewelryandTarot™ Specify adult, child, male, female for sizing purposes. Spec

Pirate Jems™ Sterling Silver Large Bud Leaf Design
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Pendant Hand Crafted and Design by Pirate Jems™ using Sterling Silver Wire It is about the size of a quarter (Pendant comes without chain)