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miuntchysality? _ a details under Ihe 45% ‘i ive of Aciustedt te) fer-military or naval | or an arnuity Governmant. ander any Retirement Act?.—— 3... Hy 86, qlee. dette under Item 45, } AL, fa) Were: ony of the following: members: of your ieuly born out: atcha Continental. U. 8. AP cocoa tae cee ee ee eee gee -& Yes Ne - Wile ... Husband ... Father . . - Mother. pte whic : apace, and show under flem full: ere mai ame of wie or mother: (i Gh native: citizenship and ei Pt §. noluralized, dete seturatizchon. tb} Have you any reiatives, by blood or. by ‘mMartage fexcliding persons in the U. 3. armed -dorces), new living in a foteign a country? 5 OR ARLE UR URE MOREE A RE TE Uso, foreach: relative show: under Mem 49 the 0) none, i :, (3) plane ob residonen, (4) barlhplice, (5) present citizenship, and: (6) whether Terannert ae reviclert. ; 4. Lint any peeve) ie ey peacdica, real ek stisswe in nhs a aperation at 5 tyr Sevices: Words. per ciltuile. in FYFANO eo eet phenegraphy «0 esac e eee Bayou have a license to operate an-abtemepile? -_-...-----. 2. ¥: _— es Ho 43. Stain. whet kindofwork youl PReHE ee eee ees Coe wyeeene Ae Clete ceny sparc] “a a covered elewbere: in: your applicatian, caaannal tae ouch. ca Ga: your Taare inneortar Buk fons: (de NOT eubmil copies unless-re- ’ separated): hobbies, construction-ot: instruments, ate. Stover Be marae ae NE SEN PE TP fa}... “Theory of. Flight. 1935.. Yale lndv. Dg es eens se eeeeeeeecenagutatneeseeeigeenent es eemrevmemnenemennnenae vee se ele Secu ge es eee ca snpuncneneaestneenenienenencnencnceneiiet .- wee Soul and. Bod of. sonatgutgictninsatey renga ye Jobn, Brown. 1940. Ault, Ripper ~ Wake Ialand 194d. Doubeday... serene [oonenncneneavansaea anaes Willard Gibba._ oo AMR. B Dons a8... steravn| vie sesteaeneanineenenutet er As —_ ORK a a a en a i a Se SES eee ee ee Ret ee pet see. eta ne reer reer eg ne rn ee rr ee arr ila ai ei i ee aa ‘Beat, ‘tay aagaainn ato. if mera. spce-is required, use a sheat ot THIN: paper, size x 1044 inches. Write on: each sheet: your. name, full addreas,.date of birth, and exanination ttl 4g 4 : ; Enclore, anatase, ith enplication: a claiim prete ‘or the Indian Sericaas an Indian, you am with this application a certificate from the supecintendar: me Indiad are you.nre registered, ox from the Commissioner, Bureau: of Indian Affairs, showing that you have ct leoat-one-fourth Indian blood. JURAT (OR OATH).--This jurat (or oath) must be executed. The: folowing: oath must: be taken befere sa natary public, the secretary of .a United States civil sarvies board of examiners; orcthe alhcer authorizer, to administer oaths, before wher the applicant must appear in person. The fellowing are among those-not authorized iy administer this oath: Postmesters (@xtert in Alaska), Army olficers, postolice mspectérs, and chief clecks and assistant chief clerks in the Realweay Mad Service, The composition and work in connection with any material requised to be-submitted for this examination ore entizely ray own, except where I have given full credit for quoted matter orthe collaboration .of other by quotation marks and references, and. in the composition of the:same I have-:received no ossistanece exc except as indjcated fully in my explanatory wtotement, I, the undersigned. BO: SOLEMNLY SWEAR (OR AEEERN) that th the atate: venta made by me in onewer to the fovageing of WOU OF coocunennanananeenmentanawawauarenamenenes Se 1: SOW PRN MEET: PRINTING OFFICE OL (Official 6 - ———— ecesegensoses amine , i. 7 NOTARY PUBLIC DDO me a ity Commupgion Expares ase | 1067