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<br />STATE OF NORTH DAKOTA I <br />C 8S. <br />COU n ty of.. n.......... .~.............. .n... .... ........ ..... <br />......:...................J~~~dJJ~-'1.........H..~q.l2ecL........m........:.................:...' bei~g ft~st duly sworn, deposes and s~ys <br />that he IS the....................s.~~~....................m.............._.apphcant who IS descrtbed 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 arulofAaid ~~ers is true of his own <br />knowledge. <br /> <br />~~~1'~\iC <br />State of Nort..n Da~ota <br />commissiOO ~res ~ 29. zrffi <br /> <br /> <br /> <br />h '/1 <br />20 d)"'"'d and ,wom to b,fw m, on thi,..............m...m.....a.........../:I-/-d:ll'~of...~......mm~... <br /> <br /> <br />Nota ry IpU blic for ....._..................................................... <br />County, North Dakota. <br /> <br />My commission expires..................................P -----.............. <br /> <br />I <br />! <br />~ . <br />I' I ~ \.nj . I <br />OJ, <"' Q: : I <br />~: ~ 0 : <br />= II ~ C"l i II "0 Q <br />OJ I' <::..j 0. : ::; C"l <br />u '., '"^"' . 'I 0 <br />. - ... II : ---4 ~'~: ~ .1 z <br />~ OJI : ~ ~ /'\.....1; 'I bO Q II) <br />OJ II . . - .. D. ~ \: Ci5. <br />8 ~. : -d 2-~ ~', ~ I C ~ ~ I <br />"- .~ O'!J:~:> W ~:e <br />- ....../"'..: 0 > 0 <br />= - I .... <::S 'O+-J. ~ c.:J _ 0') 0 <br />O OJ \:~ ::: cD\: __ W ~ <br />· - rJ:J . e..u J .2 .5 ~ 0 () z <br />,... 1'- ~ .... "0'- \: W:;) <br />~ 0 Q."--~ 0. \: ~ I 0 ,..., ~ 0 <br />,... o.~ E ~ -- .;; ..... _ 0 <br />U <, ='''00 U ::E: en <br />:.= I -- - ~ = .9 C < ~ <br />Q,. 0 '<J: 0 ... =' ~ .... <br />Q,. ~ u~o .... 0 <br />.-I ~: 5 ... e 0 <br />~ z: ;.:....2< <br />