No. 
     
    
   
   
    
       
     
    
   
   
    
       
     
    
   
   
    
     Names of Parties; Place, of ~ abode; 
     
    
   
   
    
     (Ditaég 5&7 Q44 6173/46; 9.36. /. 
     
     5% @MJA 41,74 fl/zza 6%; Q67 
     
    
   
   
    
       
     
    
   
   
    
       
     
    
   
   
    
     ,‘)_.m__«.__———___——.mm¢m=xuxngw -n .. 
     
    
   
   
    
       
     
    
   
   
    
     Occupation. - ~ 
     
    
   
   
    
     % 
     
    
   
   
    
     JZé ét/WM 
     
    
   
   
    
     When Married; By whom ~, '- 
     
    
   
   
    
       
     
    
   
   
    
       
     
    
   
   
    
     af’e/Mm :27.“ /y:22 %‘ %- gag 
     
     E 
     
    
   
   
    
       
     
    
   
   
    
     62€7é%2 6?://¢22 E fl‘flz gig; 
     
     ~ 1 0 
     
     W/éz 261?”. /f2z %Z/z >57?“ 
     
    
   
   
    
     Z/fl‘ fizzt- /722. %%7‘g¢¢ 
     
    
   
   
    
        
     
    
   
   
    
     @2252 gag/gm, j %%1§% 
     
    
   
   
    
     E Mfg/f2: %/%7K/;M 
     
    
   
   
    
     . 
     
     E 
     
     l 
     
     3 
     
    
   
   
    
     E 
     
    
   
   
    
     ’1 éfiw/vz/fiZ/fzfl %Zéé:“‘ 
     
    
   
   
    
     flaw/”24,; 27Z/7zzzE %% 9(2/44 
     
    
   
   
    
       
     
    
   
   
    
     E gfifiyfi7Z/7923 . %‘ZZ/€% 
     
    
   
   
    
     E 
     
    
   
   
    
     %/2 fig. 
     
    
   
   
    
       
     
    
   
   
    
       
     
    
   
   
    
     zzmz $52. 723,; %~%fim_ 
     
     ;./M gag/723E 
     
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