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STATE OR NORTH DAKOTA 1 <br /> 1ss. <br /> County of... Vo y ( n,�,, , being first duly sworn, deposes and says <br /> that he is the rir applicant who is described in and who executed the foregoing <br /> and above application,that he has read each question and statement therein contained and knows the contents thereof, <br /> and that he has made the answers set forth in said application, and that each one of said answers is true of his own <br /> knowledge. <br /> A-0 gi. 0 / cr <br /> S bscribed and sworn to before me on this day of.....'....11.. <br /> 20. . . <br /> ..__..,Lepia. vvi:„,,.,,,- <br /> Notary Public for. / , <br /> County, North Dakota. <br /> HEAT ER WORDEN <br /> Notary Public My commission expires <br /> Slot of North Dakota <br /> My Commission Ex Tres July 16,2016 <br /> H I � <br /> I t-' N <br /> ail 0. "2 CV <br /> 0 <br /> Y L <br /> Ti id y 0 <br /> C a� ° C7 a <br /> G <br /> .., u o c u o <br /> O <br /> .•-• Q. ❑ 'O O ti <br /> R. O - C C Q <br /> CL L S u 'o ar <br /> .1 fi a E <br /> M <br /> A o ■• <br /> z - < A <br />