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ho. pa,..nt of"aJlJ ot _ia lntere.' notes tJbere'af6re ..0ute4 aD! aeli"el'8dt the ..one,s
e,,14.noed b1 said note 01' DOte., being in tbat ..,.nt d....a pap.nt tor the use of aid land.
I aooept 'anc1 aoknowl.Ase the asent or soUottor solioitln8 aD! talt1Dg tb111 applica-
tion a8 rq asent as ..ll.a. the agent of, said OOJlPAlIY, aDl I UD4.retan4and agre. tlaat lIalc1
apn' or 8ol1oltor bas nO'pow.r or authol'i_ to bind aid oom>>m bY' 8DY repres.ntation,
arrange..nt or .&<<J'...ent, .uept euoh as are her.in .xprells17 lIet forth; and in I6&klng this
application aDll agr....nt, I _ r'171ng sol"17 upon .., own information and in"est1ption, and
upon the printed lit.J'aUre ot .aid OOllPAlIT r.lating to 88id land, and not upon an;r oral r.pre.
sentationor stat...nt ot &n1 p.rson Wbomsoe".r.
4s a oonUt10n of and a oonsideration for the aooeptanoe and appro'f&l of tlds appli-
cation by .ald COJ(pAJl1' I hereby make the following .tate..ntll and wanant the 89m. to b. tn.;
1. .,. age la 42 yean. 8. llationaltt7 Au , white
3. Oooupation !el.graphere 4. .an1ed ( .0)
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IS. ~ wife's nae,e..X..
6. 1 ha"'.,X ..bhildrd.
,. I bel'ng to Oatbollo Ohuroh.
8. I b.long to the following fraternal orderll:...X...
9. I oanr lalSOO life insuranoe; in following OOIlp&1l1eB .. l:i~f~el:f88g~l'Je~if:rk
Bew York LU'e ll. Y. Cit;r
10. I own real ..tate as followa:...X....
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11. Same i8 enoumb.rec1 for ...., h.ld b;r..X..
11. I OWD '8,000 wot'tb of p.rsonal propert;r.
13. I own debts of '..X.., oonsisting of...X..
14. ~ net worth is 'l,lSOO.
16. ther. are no "lDi ts pending or judgments against.. ezoept . ,X'"
16. Do ;rou intend to s.tile on the land yon have applied for? Yes
1'. Give bank refereno....orth 814e Savings Bank Bronx If. Y. Oit;r
18. V;r bank aooount ,ill in name of I'm. Gillman
19. I Ul now in good health and I Mve nO't 11Ow,11Or. have I ever had aD7 disease of the fol-
lowing named organs or 8D7 of the following named diseas.s: J.popl'Jq, Bright's Disease,
Brain,Oanoer, COD8UJllption, Diabetes, Epilep81, Heart, Kidney DI8.88., Lunge or para17s1s,
except Bone
D WI'fBBS9 ~REO', I hav' hereunto subeoribed lIfT name this 10th 0.&1 J.ugust 1922.
W. J. Gil1lllan
J.pplioant
This applioation is aooept.d end approved thill
18th da7 of Bovemb.r. 19!t
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IBDIAB RIVER OlWfOB/'!RDOIC LABD CO.
Wi tneBs: H. B. Oh8a"rlin
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B7 JO..ph J. Hellt
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'11e4 and r.oorded this 10th day of )(arch, A. >>,. 1924.
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P. O. BlAred. OleJit 01roui t Oourt.
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VAROJ.Rft E. !HOKPSO.
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WABRAIlfY DDD .
tHIS IlfDllPflJBB, Jlade tbill 6th a. of MaroK in the year of our Lord on8 thouand aiD.
. bunlred ana twent;r four (19.... b....n Jlarpr.t B. 'hOllPBOn, widow, of the Oountr of Henn.-
: pin anc1 Stat. of MinDe.ota part;r of th. fint part, and W. 'I. 'reemaa and Sarah freemen. hUII-
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; b&D4 and wite' of tbe Oount1 of Pal. Beach and State of l'lonc1a parti.. of the s.uoncl part,
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, WItU8fJBlfH. !hat tbe .aid part;r of the fir.' part, for aa4 in o0D814eration of th.
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i 81UI of Seven ftouaana "000) DOLL418, to her in ~ palO., b;r the ..14 pUt.. of tbe ..oODlt
parl, t~ reoeipt ~.r8of jah.... 408' la,reJlal'pin. 8811, Remise,
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