No. . , , Names of Parties; @222 Wfl%%K/fl) ' / fl/ZM/Zfl/KM/x fl” fl / MM /,,:’ffz/é/ / ~ 47: 0/77 5/244” ,4 fl ‘ ,, L/ /’ // /, . / / I » / / , 1/ . ‘ I / ‘l/ , ,1 i /" /’ // fa, 1 / g ’ , / "/3 Mm” {5: ,1 / Occupation. " When Married: ‘fi ‘ By whom. vb”; % M’é’fi/L 542/ 42/5 1 ’ 1y z k“ i ‘ ‘ ‘ i x \ = \ w x} A ’ . I l -. ‘ 7‘ if :/ ; %/g&/% // éfl/Zfl/p M// #2424“ {KKK/g; 1 )2 .1 ‘ \‘V J ’ i! 3 i '\ ;