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sTA'I'E OF WASIiIlVGTOIV, G�NERAL AFFIDAVIT
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<br />st�orn on oath deposes and says:
<br />______being Jirst du1;/
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<br />That �.•e �.nl� t :. oze . .
<br />re�^ �f Lo�� 17 nncl 18, 91nck 2� Clima�c Ls.ia Co�;,i�ar�},�� F;rs;, l�ddition to ��c^c'�•
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<br />Subscribed and sworn to beJore me this____: =__ �`� '` �`
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<br />Notary Public in Jor tlze State of Washington residing at :__________�__________________________
<br />Th:t blan4 Is qworA<eE ep�ict! tuaeu!cl ailenlion, wM1l[h ywmMY �i3 '.nurtE in LlOYD'S, lonOorP+1. PenE.
<br />wasnin9mn Lr9al P:ac� co., solUe IG^no.l AfllarN ra.m xe. U:.
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<br />Printing Date 8-11-61
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