OCR Text |
Show 544 INDIAN TERRITORY, RECrULATIONS. ................................................................................ ............................................................................. and Personal estate, valued at $ ............, located in ....... ...., and consisting ofX ----................................................................... 3 .... ................................................................................ ................................................................................ (Signature:) ...................... (Post-office address:) ................. Sworn to and subscribed before me this . day of .... ......, 189.. SEAL.^ ..................... ............... .......... OF ............ countg of ............. 18s: I, do hereby certify that ............, who administered the above o..a..t.h.., was a t the time of doing so a .................... in and for said .......... dnly qoalified to act as such, and toadminister oaths in such cases, and that I believe his signature, as above written, is genuine. In testimony whereof I have hereto set my hand and atfigad the seal of ........ ........ this ...... day of ........, one thousandeight hundred and ninety ...... ........................ *Hem dascribe the natore of the property, whether notes, bonds, stocks, merchandise, etc. State also the present market value, as near as praotlcabl~. |