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FIEEO AND RECOROEO~K
IN
196"t DEC 20 AM ~' ~ 0
DOGE F COU RY S' ClE DA
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of ett+v , ie 62
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I hcreby certify that ox this da~r per:oAali~t appeared before, me ow of jicrr axthorisrd to take aaknam!-
edgnaeati of dead, D• A. ~. Ii~C A $I,A COAP •
to me svt!! kaonvx, asd kaou•n to be the indinidxad ~ described ire alto trho eseexted the toithiR agrren!cwt,
• ~ ackwoanledged 8rjore ~+e that ~~ aeknvededged bajore ,ne
± ~~tsi~tal the aamt for the,pxrpae tbreirr espraaaed.rl~ the acid j~ ~ D• j~C
iott taken by me separate a+~d spare {roes her said. bwbawd, that ibe eseeuted the iai..1
'~ and oolrntarily, and ocitboxt any eo~utraiat, eotiwpxlaion, spprehesiiiun or fear of yr from
~ e ` tM band sxd aas! tbla
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