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<br />. 'f. <br /> <br />Statement <br />From -flJll1~-tL) I C!iL!1m?___~~<:7;':',j. <br />- 6__2/LG--&_<f!.J11.-(:;N 8JJE <br />~_k_ _ __19YI <br />To_/Jh~_~~ _ <br />Address_~~~CC.p- ~_~,/ <br />City__? - !~~ State F6~___ Zip ~53j;-</O <br /> <br />Terms <br /> <br /> <br />i <br />I <br />-- ,- <br />~ ,--- -1---- <br /> <br /> <br />- ----- -.-----...-- -_.- <br /> <br />--_____..1 <br />i <br />! <br />I <br />I <br /> <br />__ m _____, I <br /> <br />I <br /> <br />I <br />----- I <br /> <br /> <br />- --- --- <br /> <br />I <br /> <br />-_ ---1--__- <br /> <br />-----1-- <br /> <br />---t..-- <br /> <br />I <br />L-- <br />I <br />i <br /> <br />. e-4;o - <br /> <br />_/ /t'OO <br /> <br />i <br />I <br />-------, <br />I <br />! <br />---- - -1"- ---- <br /> <br />_____._.___ ._...._ . i <br /> <br />" <br />,/" <br /> <br />Wilson Jones <br />G+tA "'llN{ r OH'''' ~ 16!.>O ~I 1911 . P";'lrrl ," USA <br /> <br />- <br /> <br />-, <br /> <br />.... . <br />