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~)~t 4tj iiutlU8 .., r. I uL{ \. u~ ~ '. · l !I. lor' Pi.r~., YlcrldA 3fspua~r 29l1962. 1. Krta. }!)nil.. I.. P'1161pa, r&~ldlng ..t 2408 Atl&.btlo .lllif4., North a....o.h, fit" wel. County t t'lQl'idA, w1<1ow ...nd .\tryl 'fO!" of Jam.,. \It. P'tHJlp.f hereo1 attlrs &M At.t.." that I ha.".. Mt. re-earr1ed .ino. -1 nusb&fi4 41e4 on eepteaber 8,1961, ~n~ am not married e.~ or t.h1. d..\.~ &fLlpt.nber 2'9,1962. . Cl Signed ~ l<.~ W 1. m~,'H,&d I Sworl1 to 3frd Gvbaeri.... aot.- - - .;--~~~..,'".\.~ ~: ~i i l~;. (\ ~/, 1,e /fiU~/' (~ 1l&~, ~~)' . Y:.A,"~ /'0 1 ~'/l"L~ l C 7 ....." -... ---. f - . ._-~ .~ l/ "- thl I ~ _~ ." ....... ,~'~~p MotU.,. Pvhl ie Stah, o,"~tlj.c.~, attatt)f! ~ COllMhslon .)("tri"'fl~ ";., .- ; "Jl.\~ ; J.\,.,' . .'. -' -~.~1. ~ ~. ~. :;< ,...' ~-: .. ,'-"'~'-> .~~. ..~..~-.."~.... ' .f~ ,"# '; "r~., ".... ......._ . .-.. ~ , "tlf: f" ,.: ~ _ \~ ..'