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<br />A~~~~A~rr.T <br />STATF pF ~+~PRASRA 1 <br />E ss. <br />COUNTY n~' pp~g } <br />FSTEI,w,A M. AiTGt?STTAT, being first duly sworn an oath,. <br />states ant? rleAas~s as fol.iaws: <br />1. That sha :.s the widow of °:rwin G. AugWStin; <br />?. That she is aisn known as Me21ie Estella Augustin. <br />3. further ~~our Affiant sa4reth not. <br />st~+13a M. Aux~zst~n <br />~i*rq C`tzTgfl AMi~ SF~Tn?2?v *o l~efc+ra mP this ?.3th cJ~aV of <br />_ March l°,~4. __ ..~~ <br />JJ /~ <br />t ~~ <br />'-, ota~y ~ubla.c: <br />'ri~l~kiM~-MM~f~r~r <br />IIU~F- lIM1iMAM <br />MrG~.6ik~'J1.i9i6 <br /> t:,.J, <br /> ~_..1 <br />L. <br />