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Benz, Edmond
.~ .. .. ... Pg;/;:j,l:~~C?fE~ijW"~ oath (jt:.....O;lfice state of M,<:>'11tiina County of Gal!J.at;i.n JSS city of B.Gla~,m!!in ) I, ..... ~/J/7Z~'ft.lP F /~ftjtf!a.!r:JpsOleninlY sW~~,r (or affirm) ..~ha ~< Iw;i.J.!lf;~!i?!i?fiJrt,pJ:8tect~.lldtlef~~~~!1~ con~ti tU~~8P of ther:1J1.j,~ed ...~..~..~.t~~~pgth~.(;,Qns~i tu t:1;fiJn .....8:t....t.he.~ta~~8f..1t1on t~1:l~/. and tha t.~/i'...W it~~~#Jtsijarge 1::he ..~u t~ef;qf.. ~~ off i.c~ ......a$.~Gct~~e(fJFJf 4 cer with :ff~ifieid,t.}';:tthat,k h~Y'e... .?1otP~~,!""','or.t;'()l'ltr~:J:rgt.eal'.....or1?rom~~~~ to paY<;?:Pcontr415ute/,ed.thercj.i.:r:E1ctlYG!:Pfngfrectly, ..<lny mQti~y or o thElJ:iJ{Cil u abl e/thi ngfo:P.t:ti~!f f!f?ff8:r..1JlfJ;nce G!,r n012- per Eprmance . ..8FJ ...any actqr.~uty !i?~x;tainiH~'fofflY8ff,i;g~ iZ!t.he,rt:hfin t:hEi compenEistion allQJ1(Eidby ,Law. sQ...:f:jE!J.1?~E!!i(:ja . tj .':f SUBscRlaEDANS.S(VoB.N t-Qlbete>re 'me Q......f. ill.t/4".U~:T~, 19 if l' I if 7? '""" (,':::::':::i;. ."" :'.:.' " .,f.,:. ~::FR,/'M~:ijf:FANA . .'-- R~~icliI'l.gl<'t"". t. ,5 ai'r',:;,), Ii 1/ f.).. .:.:.:", """:' ::'" ~ l{Y99mm:lssibnexpires: ';- 1~[-18 r;(~ SeRvzng Sznce ApRlL 12, 1883