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SOLrI'H AUS'~'RAL I A
STATITI'GR1 DECLARATTGN
I ROBERT FOSTfiR BRO'+~~ of ?~4ount C~n:bier in thc State oF Soutl? ;
Aastralia Solicitor and Notary Public DG I~Bi2~BY SCL~;thL1 AND
SIrCERELY DECLARE as Pollo~~s:-
1. That tiay tiarie ~~oore and Diannc Kay Vause both of l~~ount
Gambier ~Poresaid Clerks anct I the dec2arant and Faul Daniel
Prin~le of 46 ~errers Street R:ou~t Ga~riDier aForesaid Chiropract~r
were present together at ti:e corner of Sturt and Ferrers Streets
, i
b.ount Cumbi er aForesai~ on the ~ Q u day eF ~ 1971 and I
thc declarant did s~e the said Paul Daniel Pringle duly sign
seal and deliver the Power of Attorney attached hereto and
r~arked "A" in the presence of us the said l:ay d:arie ~~oore and
Dianne ~ay ~'ause and me the declarant and that the said Kay
,
1'arie t~:oore and Dianne I~ay Vause a~d I the declarant did
thereupon sign our names as witnesGes.
2. That the signature "Paul D. Pringle" thereunCo subscribed is
f the ~ru~er hand~~rii.inr of the said Faul Daniel Frin~;le an~ that -
~ the Gi~natures "Ka~~ h'. i~:oore" and "D.k . Vause" and r. ~rown"
l s~:bscribed ns witr.esses to tt:e execution of the said docLment are
in t::e ~roper handwritin~ oF the said Kay ~~'•arie i~'oore~ '~ianne Kay
Va~cse an~ ne tt:e declarflnt.
And I make this solemn declar~tion cohscientiously be?ievin~ the
sar:e to be true and by virt~:e oP thc nrovisions c~f T1;e Gatt:s tict
19~~6 oF ti:e State of South australia.
DECLA:ZE~ and subscr~be~ at ) ~ _
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b+ount Gamhier aforesaid thi.s ) - .
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t.,-r i a~ aa ~ of 'r~"L~ct } ~~1-"
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1971 3efore me ) - - - ' ~
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