Laserfiche WebLink
Fa1ut Sn. 1. <br />A�� BLANNB MUBT BE FILLEO IN � <br />. oe Caoaeeo Our. � �.� (.� -lppli�ra�liou Sn.. � /� � <br />\u.. .. � U lf.Q-Qdcr.e-e�� . <br />. .... .......... `7/ <br />. 7,o.r�n; �nrr.ius�rexu�s��r ur •rnc 1•h•b:it���•r \V.Preia l'our.����: .... . .......... `lrecl. <br />I:vcrcU ................ �� U �` <br />� I hcreL • 1 I ' 1S!7!. <br />) n i dr for Ihe uac ot �ratur iu nccordnnce �rith Lhe rule� und re�;ulnlinnn ol lhe F:}•emU 1Peter <br />Cmnpnuy, fur the pW�pnsca imd Ilxlurcy alntcd Lcina�: � ... <br />1 'I'h��car la 6e useculud by.... L�'� � <br />— � .n y�' /^/— <br />( If no Tnp ia reqWretl. Croaa Oul.(:• • 'Jw .... `.�^� � � <br />� .....'Pn � % . .. .. . .........1'lumbrr. <br />� <br />1 1u be inacrtcd lu 6t•r maiu. <br />............11':rtcr Cloyut. . ......Hnnu liib. J'nr hUilding piu•pnaca. <br />� . . _ . . . . . . . B:rth _ . . . . <br />,.. .... . linac 1{ib .inelilc. <br />_. .. <br />. . � ,..._.... .lJriunl - <br />. .. . .... . .11ib fur elnblc cun nming... . Ftnll.. <br />I .`�` . _ ., , , ... .. .. J'I:ihi Rnucet i:�sid� . ..... .No. Ycremiy in family. <br />f� , � �� � .... .�iqcw•ai): 11'nvhcr. Ihu prcudece lo Le vecd n+ n /� <br />� � � ... . Hnyi• 8ib ou�sidc. n /........ F <br />, � . • i I � �l 1 , . . . . . . . . <br />`//,J I[7/��/%/ �/f /O0\'\/1 <br />. �i6��.../.� (. `.!..[.:..��� _/� 'C�l-�V <br />. .................... <br />. i/ <br />