t tire , Lire 1-4--- 31~ ; LI /9 Lii It N etociSte P ISC i -S5-5- w o.2., Z'Arr tat NA Ota iS t( . 5 t)I j TO 1/1 9..‘ ii. 16 -11-1-1.01) `Dwits tan- ,_ N\ f>r • rAier ainic, >A"4::-£.Nz'T,,txTat. 9— 0 I certify bat the slalemeras made Piers SipooloreC, "4 by me an ihis form are ave.