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P-IM JOHN DOUST.LAW STATIONER L!THUR.ToRomv.
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/ AFFIDAVIT OF EXEC T'ION Sold by Joseph Doust Law Stationer, 58 Adelaide St., Fast Toronto
of the �a Qil�t.tir Of 41 C44AA'e-(
To WIT: in the
�fl� 01A.It,cz of
make oath and say
1. 05 tat I was personally present and did see the A'tA4A-411 =vl I tl"un ent andCA
du li to theren/`duly signed sealed and executed by [�pGt�a 9
''1`
�he part-te'l thereto.
2. T kit the said Instrn cent nd dupl fate were ex�u.t th net,-�( �'�✓jJ
3. Mhat I know the saidPart
4. SUM I am a subscribing witness to the said Instrument' and duplicate.
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this .•�. ` `7' day of I
in the year of
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Lord 191 (�
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