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AFFIDAVIT TO ANY FACT. Texas Printing Co., Manufacturing Stationers, Fort Worth.

12001
STATE OF TEXAS }
COUNTY OF TARRANT }

BEFORE ME, the undersigned, this day personally appeared
____________________________ who, after being by me duly sworn, did depose and say
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
_________________
Sworn to and subscribed before me.

WITNESS my hand, this the 5th day of April, 1904.
_____________________________________________
Presiding Judge ______________________ Ward, City of Fort Worth, Texas.

FILED
SEP 16 1904
Jno T. Montgomery
City Sec'y