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a.. Declaration of Property Qualificatmn. -
do solemnly declare that I am a
natural-born or naturalized subject of His Majesty and have and had tow Y
y own use avdv;.
IN
b Tt in my own right (a]—as, `
owpev
proprietor at the time of my election Co- .
.mr ..
"0"°" the office nL. C7111 11 OP lmrcivaRer refereed to, such an estate .
as docs qualify me to car illthe office of forthe
Municipality of O.%n aaFiya,cdsiwand that such estate is Lgzfnars.,/. �.
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Std that such estate, at [ ne of lily election, was of the calnc of it Ieax
dmti .ufa..d fpvwsm cz_— —. at at and
NW, fibers all charges, liens and micumbrances affecting the same. —
Declared before vie c
at eL
}`f� in the County of
t this_/<
day of <s..z,f e3� . — A D.,19W,