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- STATEMENT OF OFFICER. — oo — ee ee Penge = ae 3 ee (Degree of lai. : : —_— , (Seraatae ; = _ SE Rca arg eg npr ce pee me ee SS ee aren ee eens nea eee tehsil fae see sn a a on (No. and pre or rural r routes if = so ) state. ) ae el cay, — t office. =a ~ {State or country.) Ji d x ¥y 1h Co. t : of is Ne i ch sn as Coe eer i Date or birth a y5 as ee ‘ Se ee ee a ee a a a — . ue f os : j : . 8 ke 2 ns e a ‘ f ee Bs sab: ad a ae 2 es cf SaaS Te f te i, s f f we ) ; ~h) pie of birth YA\AtASM1A fren eg ae | : (Degree of — nship (Christian name.) (Surname. ) . eo es oe ems eee ee ce ere crise het dian demas sie ise ocare nates ol coe one nae / Pe, (No. ot oda or rural route; = 80 state. a tt ey ZL eS a a A as « (City, town, oF post office.) et ee ee ee E 7. . f a f k K s ae Pe ee 4 City, toy winy-or- post: 0 ws piece Stone address I A l, — “7 . wi oi ac | oe . : ee ee ae Se "(Christian name.) — or — Pe A se AS A a re ee ee ee es ee ee ee sarees ea oes ereiniceeas ice cco Tae ae iea Oe A 2s a a ee es ee ( No. and street or raral route; if none, so state.) SE A A ee EN a ea a A Ee te el A Ge ee fem ae ad Ses em ee eee oe ee ae (State or country.) Ba nnn en | iy, ed man or officer in United States. Army or Navy. pic chase or Volunteer, National Guard in Fotleral . Army. Give oe ae company, oe etc.): Fa, Lh, Msg : has abi ieee er east ee a, Se ee (State or country.) 3 he ‘persons nated silica and none others, are = wile, chil- dren, mother, and father: Wy . a, a AA V4 oe a Pag TF eo ie le i ie No ee ee at ee ee 4? a a es Sg om — eS es Se ek a he ogeree of relationship. i prio mame.) . (Surname.) of ae ae ¥f / Del ee A Mana wL af Se ea ae i Oe a Fn a a EK yy eh ee ek ee ile am — ke ee ne ae ae a a ea Se se tae E a ey — and street or rural route; if non os YN AC endtnes ss Sh yb el Se a ae a ea de oe ee SE ia -a- Suf Aska- aee Nog mee s Mo ae town, or post office.) —_ or eountry. ) Beth: 0» Aha oe pa <. ees “se SS eee amet i eh me ee a ae a ee ne ee eee eee a Tn ee ee aera a fre cance mas al ale ae hee rN Ee a Sea i fe —— ee ae ae eee alae ee e-em eH Hl Ste rh, pe. fel GO Ses os a= ona gels aR fe ek rate ec a a ne a ah et Fk aero wn nn ed SE a le ee a ee ee ee ree eae ee hm fe np sry lp fees lms ens ms as ee mg se ame a eg an rm a ry ies ore swf an se Pl Ss a so ne ego whee A caentin Pe ee Se a ee eh om ney ‘tee cial eee tinh wee ee tes a RS ae ek Ae ST oe in , “Gis, town, Or post office.) seal or country.) At a a eo eh. he Mee ah : 3 ; ; ; tess es a Tie fe Ve : orm Wo. 337, A. G. o. ee aces Welee oe omai8d a ee - ge é ee bod + oo June 15, oth wa ee eee Se eee ee ee ni ee eciearye Wiest oycece = ae ee eee ee oe ee ase ee oe + f Henk and OF ator a : yet ‘i : ig, eT Ee aap: cerita eee ee a a - i ie - . = Z bas eet: F ro Pc tylte ant lk a 7? oF y=" eee * i x . ‘ 4 r ic mks Ba ds a $i Pim. ah : ae inal re 1 : . 7 Po t = t - te ; 7 Si = ato dg et Na : - ut fi = £ t if tars , 7 Pie : ; PAC ts 4 ‘ pe f hy i} : E se he dees: ate yal : : . e ; 3 » = miptt Sates cet oF att eta re A ¥ t ter 5 iA eta ee a a Pay ts ayes oe : e : : aoe . i Sag tea : : ale ite te i rib Pa a a eae ee a ae i i ae pt = & CEs ne Bo aes DS at eS eras ee ke eT 2 ree ee 5s i Eee) ete aaa! 5 Ba hl ee fg Peder rea pi peeaee = eT i a REE 8 PEE Wy Baa ae si sal as eg a he i abt pair acs AA A BA Se cath naka ee a la ew ee a ye daca Se ae 7 | t a; e 2 fap tker pe ee ie : on re . : agit Sy Os - ay on oot Lae a ek EA td ek : Fil é Gn - lh, l pe ps *) hm “the military service of the United State: 5 gi . 4 solemnly sWear (or affirm) that I will suppe ag against ail enemies, foreign and domestic; tha itary service (at United States Military or ‘Naval. — ee: service, Reserve Corps on active duty, or National. a Se 2 tt a a “is. ya dick th day of -. a ee cee = f * oe af t =. ee el : i ‘ ay e Fee 5 ry i t i # “ E ia a Tie " F 1 aa i ae i * a = x Reet oe “ cape i, at. - = ri aot rs J ip - oe - : . F T : 7 ee pit FE = * “ i ; ~h SD EE ee Sem ere ka ai ae ee ees mp te eee iahebwntinee ce LC ear sem ee me mc cn m | 2 : : * “OATH ¢ OF « OFFI ICE. us . ° as ee Ee ee ee See ee eS a a Ae ee ae ee ee ee ee SS a a ee a ee ew nies eg ie Sim sees aoe Aah aie ‘ _ 2 Ge a A ee ie ey ee a x t ir mt fi oi f se: cpa ng Pig a Scan at. th ries fe eae 73 - (Arm, corps, or department. )F Se a ee ae a ee ee ee Ce er a ae a a le a ae me ae on (“Component force.) defend the Constitution of the United ‘oak will bear true faith and allegiance to the that I take this obl igation freely, without any mental reservation or purpose of evasion; and that I will well and faithfully discharge the duties om the office upon which I am about lo enter: Soo help me | God. . Ce E ARO = ig oil el al ee 5S 8 Sr ae ee ee Se SO OE et om SPC ot a sche + 4 / (fale and organization.) ete ache ees aoa ie ea ee ee oe ee ee a ee ne Re ee me : a Sate in re So ee ee = a an oe see ee en age a ee Se SS ee Se Se ee ae ee ea is National ven. 3 N oiinal Guard, or + Roserve © Corps in 1S the Socaet to be stated, |

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