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vIT TO BE EXECUTED BY CIVIL OFFIU..:
OF THE UNITED STATES UPON
APPOINTMENT TO OFFICE
Before me.

F o r m » p p r u \ ' i ! i t>> < o m p t r o l W ' M . o n e r m l , U . S .

Name)

(Titta)

arriner

Ou.

(Address)

iffirmed), deposes and says: That ho has been appointed to the office of

; first

trd of

•

f the Federal Reserve System for
•

i,

W

5

- .- -

M

and

1,

, 19 36 t by the Tresident
(Name and tille of appointing authoniy)/

/

and that neither he nor anyone aAing in hie behalf has gJWu,transferred,
>u>idi ration for or in the expectation or^ljpj^^of receiving assistance in,^eTuring
(Signature of illiant)

SUB8CRIBED^>IID SWORN

to (affirmed) before me this ..

...Jr.

^7
GENERAL ACCOUNTING OFFICE, OFRCE OF THE COMPTROLLER GENERAL OF THE UNITED STATES
WASHINGTON, D. C.

^S

is hereby acknowledged of y o u r affidavit u n d e r t h e act of D e c e m b e r 11, 1926 ( a m e n d e d ) , re your
a civil officer of the United States effective
receipt must be submitted to the proper Disbursing
r Disbursing Postmaster as his authority for making payment of salary.

...

« 19
J. K. McCARL,

Comptroller General of the United States.

By

*T

• In thU »p«c« officer will fill in his n«m« and th« addr*** to which h« wish** r*c*ipt forwarded.
io-i:<i
See also instruction* on reverse side hereof.

m



Data stamp of G. A. O.