! '--- `. . , ";.1'i
<br /> STATE OF �- C ....� On thu.... .. ._.__.._ _. . _ __ . _ __.._ _.. :9-'._ ._.
<br /> ------
<br /> l _, }ss.
<br /> ...__�..__�.<..,_�..._�.__�.._..��_..County I s�:e, the undersigned aV-otar�� Pi�b!ic, a'��1�� commissioried asad qi�al fied far �
<br /> irt said coi{nt�', persoriall�� ran�e..rzl9riria_L.r...K311�.s18sf.r-..f-Or'm� -1,y .known '
<br /> as _Glenna__L_..__Van Hox�_,._.�.x�.d...Cly� .��K�.n�s1e�-f _.wi.fe and
<br /> husband, and Charlo�te Van Ho ,� `�r of 1 rina L. :
<br /> �- � Kins�sle�, anc� �a.�h in �Y�air .ot�- e ar�d rigl� .
<br /> �� jfr - � ,� c
<br /> . .' �.,�o-,rt !o be the iderrtieal fierson or {�ersons crhose ��a�ne :s o�� tiiar�,�� ere
<br /> � � • , �� �� , ' )'...° �:=+i.r�d ��, .���, Torrgoirig :ristriuncrit arid acl:no��t•��dg�d the c.t�cc;rtio�� t;;�r � t� be
<br /> n: '� - . _ _
<br /> -. , =��,rp 3 �g � � ;- liis, ltcr o%� tl�rrr ��oli�ti!ar� act atid dc2d.
<br /> �
<br /> � � � l i�itric,cs n:�� hc.iid a�id V�otari��l Sral tl,c da�' and 1�ear la.rt r.'_.� ::�r�;`�r..
<br /> �.'V�:
<br /> �. •`" .r^4 " . � . _
<br /> .� � ` �, . t .',�� - �. � ,� �.�._.��.A�ofar � F'u'clic
<br /> . . ._ �
<br /> �
<br /> . . _/_ . ., ���;
<br /> .11�� Co�rr�uusio�i c.r/�v-�,s th�� �..._i c��� ot �_< -�--%-..�---- - �. �a _
<br /> • .:�:
<br /> 5
<br /> STATE OF ...._.. .----- � - Gra this. d��� o+ _ _ . rq
<br /> 1. ore
<br /> �ss. ,
<br /> � ute. tlte intd�rsigri��l �: ��o.'�n , t'.,;�. � ��•,' << ��.;,�:._ �� �'d �:,... i<<: '.-r
<br /> -�-----�--... -----------�----- � .Cot�rit�, .
<br /> in said comih', �hersonal!•r �cn::� _ _ _ _ _ _ _ ____.. _ ...
<br /> ........ _.........._._ ...--...._ . _ _ _ __ _ _ _ ___ _
<br /> _ _ _
<br /> __..__ .. . ____. ... _._...
<br /> _... __..._........ _ __ . _
<br /> _ ______ _ _ __
<br /> _ _ _. _ ....__ _____.
<br /> to ;�t.e 1:rio.c;: :�. _� tl;� :�.�,..._... . -; r : r' -.�,�_ �:: '� . _�' r:�.:;r.� i� rr� n��;;:.'. �:r�°
<br /> affi.red to tlrc ior�goiry ir:;rr:�;r.r�it c:>:c .., _,..:�.. ,. .. , .< <.:�ci�r:.,ri r,:�r ,�' :�, - �
<br /> his, Iter or their z�oluritar�' nct and dacd.
<br /> Id'itness �riy hatiid and .A'otariul Scnl tlic da�� arid ��car last c?�o.��' .��r�.",���•
<br /> --
<br /> - .__.._._..__.._
<br /> _ ....--_.. ___...---__._-_...... _.\-n.'.:i-, i'u .:e
<br /> YI}� Cofus�tission e.cpi�res the.--.-.---.._...dav of---------..-.._..-------_.- �--• ;9------
<br /> II � ° ° ; x � �
<br /> � � � � � ' b � I
<br /> \$ r:
<br /> y � q� 'tl � !r ' >� c�.� A, '•'
<br /> A ��_ � q o� 'c � �,?q o, �
<br /> w ' C .v� 'Q �
<br /> O c°�
<br /> W , '�' d � � iC �' O� a
<br /> W i � �, � ° . ; o 'a
<br /> 'O A �_ . ro ,d � � ,� � o .
<br /> O N � �y'i„ w O �j tl � � q � � � .
<br /> � U Q� �"� � � � r-�1 � .V+ V" M "d m
<br /> �: z � � �: � •o ; o �
<br /> � d, � �c � � Ti � ..., °
<br /> �` IV � � �,i � ` `I�7 Oj �i � •N b .
<br /> Frq �.-{ � : � -4'
<br /> � 7 � w : .C� � "�� t� '� �
<br /> � � ,� � ,a; �; � '�, .o .�
<br /> .-. � � °� �� OW � � x ^o i ° ~�
<br /> � v '� � � �� � � o V ' � �, .
<br /> � r-�li W v .� � ,� �}
<br /> � q C`f, C3, U'� � m d "" 'L O
<br /> ►-�i � . . . . (i'1 . i. h � C1 ' • '
<br />
|