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Fnrm Ya�1�i. � ��� `1 <br /> / `,/ <br /> � 3_�� u. _ � ,� <br /> I .� , / �_� Udlii•ntlon \n.... .. ... <br /> �io..v- �, 2 — .� C� _ ���� � � � St <br /> n .." <br /> ....,( ...... ......... . ......... .. ......... rre <br /> ... ...... . t.. <br /> , (� <br /> Ti7 TfiF. SI�PRHINTF:\DF.NT " T714: Rl'IiRRTT \1'.1TER CO\IP.\K1': Fcr�vU.............../-............`�.... .......190./ <br /> � . .-a "r <br /> ~,.I',hcreby npply (or Uiu u of e�nter in nccordimrc �rith th�• ndca nnd rrFnlnUonx ot U�e Rc�rett 1�'ntcr Compnny, nnd reqncxt <br /> r I•i� <br /> lhnt n .. .. .. Ine�h tnp I�c Ins ted In tl�e mnin nl lh� plare 1lbncr stnt.ed. <br /> I � <br /> Thr�ph�mb�r who o9i1 dn my� �� r6 iti ... � ... �' �{ / <br /> � v � .... . ........ ................................ ............. <br /> i : `.. <br /> ._�. _.- •�� � , . � i.,v� <br /> Thc mr�ncr of lho ptt�mise� Is.. �:.............. . ...... � <br /> .....�.�%':�.'........................ <br /> �� . ........ ................. <br /> ........... .. <br /> Thr ngcut Is ..,. ........ �. <br /> ....... .................. .........� <br /> .................. ................................ ............. <br /> Tno trnnnc �s................... ... G�.J�, . <br /> ... ....... .......... ................ ................... <br /> .......... ............. <br /> � Tho �r�trr rent Fhnnld 6�� e1u11'F�J fo.................... �v . <br /> ................................ ...^.......... .. ... .................. <br /> ' , / <br /> Si�:ned..... ..,. �/��.......�C.�.. ..7�,L'(/!/7M Gt.�-C_ ' <br /> � ........ .. . <br /> , l8ro Other Sld�). <br /> APPIIcnnt. <br />