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i� oi;T�a c <br />(li} Sll)�S'1']'I'U'1'l: 1'L:RSONAL SL:)ZVIGL: <br />33y dclivcu•ing aud lr.aving caid col�y �;�illi lhc follo�vinF: <br />� idcntificd lll(I]V7C�U1]� a persun of suitetLlc agc and dis• <br />cretio�t then residenl al lhe place of said o�v�,cr(s) u::ua1 <br />a',.odc aC Il�c placc euid ti�nc scl forlh ]�crcinUclu�v: <br />Owncr Name AUode Address Person Scrvcd llate Servcd <br />� <br />(c) Sl�}2VICI: SY MA77., <br />' � )3y dcpositing iu thc �r,ailr, uf ll�c Unilccl States by- :•c�isicrcd <br />mail or ccrtificd m3i1 a prol�crly siampcd and addresscd <br />' envelope containing ^aid copy direcled to :aid o�vner(s) <br />addressed auid on thc datc set fortl� hcrcinbc7o�a•: <br />O�wicr I�ame Mai] Addroe s llate Mailcd <br />� _ f,'R, ���ELVIN TORGEN�JN 119 CEDAR STREET+ SNOHOMISH, IASHINGTON 8-31-70 ____ <br />SU3'�SCI:;]'J:D ANll :;1;'Ol:i� to before me thic _�day oI _,��_�_, 19�1,,- <br />(S)s'A ] ,) <br />I�TOT�IZY 1'Uli7_,1C iit a�icl foi• thr St3ic <br />of �'�'ashin� ton, �ssidinq in <br />a <br />� <br />