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With t~e Utsit~d SLat~s ArMQ !'oro~a )
at U.S. llawl Air 3t~ation t
Le~wor~~ Calitornia )
I, J. M. AMIS ~ th~ und~raipNd otfio~r, do h~rrb~ o~rtif~r
t~lu?L on Lhis~~ ~19 68 ~.b~for~ M, P~ra~~na11,~Q~~tE -
SPEAR hqN addr~aa is LE
_ C31~ T.TFC)R Ni A ~ MUO • kil01/ LO M LO b~
d~~c or th~ spoua~ o! a U.9• AnNd ~orais ~b~r, and t,o b~ t,he id~atioal p~r~on/~aeaoaac
vho is/~e~ d~~orib~Q in, vAoN ewM/~1~ i~/1l~i anb~arib~d Lo~ aad Mho ai~d ~nd ~s~.
~cut~d th~ for~~oin~ in~tr~rnt, ~nd tarin~ rirat ~ad~ kno~r to Ai~/tfiw tfN oonLusta r
th~r~oi, M/tb~y P~r+~nall~ aokn~o~l~dt~d t~o M tb~?t M/thyr aipNd and s~al~d tb~ aaa~, ~
on thi dat~ it bur~ ~ u bi~/tL~ir Lrt?~ ~ trN ~ snd ~o~.untary aoL and d~ad, !o~ na~s ~
P+u'P~~, ~na ~~~d~r~Lion th~r~in s•t rortU. ~nd 2 do i~rth•r c~rtity that I u at ~
ths dat~ ot !~i• o~rLitioat~ • oa~iasion~d oftiar at L!a ~rad~, bneeh o! a~r~ria~,
and or~anis~tion •t~tAd b~lar in th~ aatiw a~iwio~ o! t~ iJnit~d Stal~a ~rNd lbrc~a ~
that by atatut~ ea Nal ~a r~q~ir~d on thi• o~rtitio~l~, and aw is ~~aaut~d in ~1?
capaoity a~ lw ~p~oi~liat nnd~r autboril~ ~ranl~d to M bx Art. 136, UC~if 10 USC 936.
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R1 ~AN R COROED i~~ o o~r
~1' ~~E ^Ct~ ~~r.Y• F~A• .
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~r'G~G~I~~~~ ~ J. M. AMIS ~
'68 NOV 19 ~w o~r
P!1 12 13
~ Lie tenant United States Naval Reserve
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C RCUiT COURT; N~ ~ ~ M
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iT r..?.~.~;, vw~a., ~ossaa~zso5 U. S. Naval Air Station . ~
~s~s7:::- r-~r,~ c:~~-=. Lemoore; California
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With the United State, Armed Forcea )
~ at NAVAL AIR STAT~ON, I.Bl~00RB, GALIF.) ~
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I~ J. M. AMIS the vadereigaed officer, do hereby
certify that on thia t day of SVEMBER ~ 19
6=, be~ore oe.
peravaally ~appeared LT S RLEY LAWRENCE S~EAR ~~rhose hooe addrasa
is LEMOORE, C~? , and vho is kao~n to se to be
a 0. S. Armed Forces member on sctiae duty
~e, snd to be the identical person Who is deecribed in, ~rhose name ia subacribe~ to~
and siho signed and executed the foregoing inatrumeat, and having first made knotim to
~ his the contents thereof, he personally acknoWledged to ~e that 6a sigaed and saaled
~ the same, on tt~ date it beara, aa hia true, free, and voluntary act end deed, for
uses, purposes, and considerationa tbereio aet fort6. A~d I do further certify tlut
I am at the date of thie certificate a co~oissio~ed o#ficer of the grada. branc6 of
eervice, and orgaaization atated belo~ in tbe utiva aervice of the United Stat~a
Areed Forces, that by statute ao seal is sequired on this certificata. and aaa~a is
executed in ~e~? capacit~r u JUDGS AD~V~O('.AT6 wader autho~city graated to ne by Art. 136,
UC1iJ; 10 USC 936; Section 4139 JAG Manual; orn Civi} Code, Sec. 1183.5. ~
(Signatura ) `
(Natie of Officer) J• M. AMIS
(AF8N~ ~rad~~ and btaoch ot •ot~vic~) Lieutenant, United States Naval Reserve
(Orgiaisa~ion oY Co~saad ) Naval Air Station. Lemoore ~ California ;
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(Pas~?aent ga~ Addru• ) 9700 Audubon, Dallas TEXAS 75220 ~
171iD ~3L 5804~3 (?-68)
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