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STATE OF NORTH DAKOTA ] <br /> <br />Count>' of.....~ ......................................... <br />.......... ._~.~q~...~.~.~l~.['.. ............................................................................. being first duly sworn, deposes and says <br />that he is the ........................................................................... applicant who is described in and who executed the foregoing <br /> <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 /> <br />oQ. Subscribed and sworn to before me on this ........................... ......................... da>' .......... <br /> <br /> Notary~ P~blic for ........................................................... <br /> (SEAL) County, North Dakota. <br /> i JOYCE SCHEPP ~ My commission expires ........................................................ <br /> , Notary Public ~ <br /> ~' State of North Dakota ~ <br /> ~ My Commission E:o',ir~s Nov. 1,~, 2005 ~ <br /> <br /> <br />