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STATE OF NORTH DAKOTA /ss <br />County of ...... . .~.~...~ ......... ~ ...............I" <br /> , ) <br /> ~._q~/.~.r.~.-..~.....~ ................................................ be~,,~ ~rst d.ly sworn, aepose, a.d says <br /> <br />that he is the ................ ~;-~ .......................... 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 onTf said ansxvers is true of his own <br />knowledge. ~e~~. <br /> <br /> <br />