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I�Oi;'�.1 i; <br />GI'1'l' Ol� I�VL•'Itl�:l l <br />Sn��l:,.mish Cowriy� W;ishin�,tun <br />LII�,SAI� 1�: I`�LiILI)i��(LS <br />S'1'A'1'L: O1� �'JASIllivC�7�0A ) <br />�5 <br />COUN1'1' OP SNC)110A]ISI; ) <br />ki�:}rI�'RI�:NCI'. �:(�, � �_1 _ � <br />AI'l�ll):1V'I"I' OI' S1�:I:VLC:1: <br />'1'hc undor:.i��,n��d, bcin� firsl ditly sworn on oath� deposcs .�nd �ag�: <br />1. Thac in and during all timcs hcrcin rr�enlioned� affiant «�;�s ;u�d now <br />i5 ur�•r il�r, a�c of twenty-onc ycars� a citizen of the Unilcd Slates� a residenl <br />o( Ih� Stalo cf �Vashington and compotont to bc a a�itncss hcrcin, <br />2. 7'iat affiant scrvcd a(ull� iruc� corrcc[ du�,lic�lc nri�inal copy <br />of thc following dr�scribcd documenl: (Cross oi�l in�p��li��.�Lt�� n���ir��; ) <br />(a) N07'ICI: OI�' UtiSAI'L ]IUILDIN(�(�) <br />, . _. . . .1-`-+'t'ti ; i�E �: U <br />.--��;-�;F-i;n��nrn..rrr •rn i-r•iv rnt-��i�n_ ,:(a.12 <br />T- �, <br />+� iri�'ic'a' an <br />Owncr Namc <br />� 4pyN <br />A cnpy of which is ittach�•d hercto and by this rcfcr� n� � <br />�nade a p�irl heroin as thou�h set f�rth in tull hcrrin <br />u�� �n cach of thc follo�vin�, last Icnown owncr( .) of <br />rcco�d uf th� builclinF(s)� or structurc(s)� or purtiun( 1 <br />ihrroof dcscril�od in s��id docum�nt Uy thc manncr s� t <br />forth hcminaflor: <br />(a) I'ERSONAL S�RVICE <br />I3y dcliv��rint; :�ncl ]c•:tvin� said cup}' �vith s;iid u�vr,cr(s) <br />at tlic placo .�r,d timc scl furih horoinbclo�v: <br />Addre�.s Sorvod <br />Datc Scrvod <br />