Laserfiche WebLink
�ra� . _ '___ .'_ _. <br />. J .5" <br />rorm No. la. -6,�'. <br />� <br />��DPIICf1IIOt1 i�0... �..�.. ... <br />/ ��. <br />1 � II. . . . . . . . . �Q l. L .. .�.�a'.G,'-P /G/� <br />............. S�iCC�. <br />Peerett............ «�'.!.�.:�...�.� �.. 190�- <br />TO TII!: SI1PGItINTG\I�fsNT OF TI�Ih: Is1'IiRI'sTT 11'.1TIsR Cn.lil'.1N}•; i <br />I hereb7 npplr (or thu use of e•�ter in nreordnnee �citli lhe nJes nnd r��gulntlnns of thc tie�,rrtt 1Ynter C'ompnn)'.:mJ reqnest <br />lhnt n....� �:inah tnp bc im:erled in Ihe mnin nt Lhr � <br />% placc nl�occ s�nlcil. • <br />�hr pintnbcr w•ho �cill do my �corlt Is ........................... � -. <br />: _. ............ ......... '. <br />. ........................... <br />9 nr ntcncr nf Ihc . .. �' ........•..... <br />r -r e-� .-.- /�� / . � s <br />� <br />p.'cntl�ee i3....:.:.,. i;.�:t..(.t��....,":e...,....�.. , . <br />- r. ............................... (:...�......... <br />5 ?.�-.... <br />Phc nsem (s ..................:........... ... C,%� ...... 1 <br />..................... .................................. �_. <br />{ .............. <br />Thc tennn[ (s.......... � <br />.................. ... . ..� ........................... . <br />................................... . <br />�Y , ............. <br />� The ���ntrr ^en[ shnuld Le rhnrged lo..........!� '� <br />.........................: .... ..A.... ...s..... <br />.... . . .............. <br />// (�!� <br />.. ......... <br />siFn�a .Cc��:ir �c-r.,J-.-•�.�!"i vi� : �G . . . . . . . . <br />� IScr Otl��r Sidc). � ...... .............. <br />:1Ppl Ic�mYt. <br />