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<br />i~s4ai a~ is« % t.~ <br />--ta ,~ to ~e g or Ana wbo ~d -the € <br />eseeutioa t&craaf to bs his, tra!r or their volnntsry set and- deed. <br />- Wiiaass my band anal notarial seal os ... . ..................... ....... ....., I9 .... <br />.............................:• ..:.. .._.:.Nottrs PebL <br />*.dy aammisaian expires ..........................;..., 15..... . <br />9't`~TS aF ......................... Coaaty ot........................: <br />$etflrrs soe, a eg+tary pubtie rtifatifiec! for said county, pezsotaatly eatse <br />trno~n to aae Eo be the ideatieal lxreoa or petswns who signed the fare~efug iuatrame3tt aad aekaoxlad~ed thr <br />elEetttion ~asreoC to ~-his. her ar 6heir volnatary set aad teed. - <br />Wit~ee etfp ISiIId asd mttartsl swl au. .. ......... , ., 19....... <br />.............. ....... ....NOtBt~. Puhha <br />~}• commission ~=spires ............. . ................. 15..... . <br />~T~TE C3F . - - .. .... - .. . ("aunty „#. <br />ere me, a ~YarY puhli.~ yua.iifiA.~ Fn_r s ~._,tx,~ttr_ per~uas'ly eattte <br />'~'3.'~sFe fa ~ to he tke urntirsl pcro~u c=r prr~-nx stir, ~earra# tF:? #ss~~aisa meat sad saiG¢o~lsdg~ the <br />esetEatios thct'are# t8 be his, fixer ur their ~otuaxihrr- act xnd .#ead. <br />Witseas sop haad aad natarial scat oa. .. ...... , ... ., 15....... <br />............ ...........................aotarp Public <br />Aiy catatnisaioo expires .............. .. . ...... . . .... 19..... . <br /> <br />