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AFFIDAVIT TO BE EXECUTED BY CIVIL OFFICERS

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Oh THE UNITED STATES I PON
ArrUIM>lLNl 10 U r H l t
in u

Before roe,
on.illv appeared

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who. being t:r>i duly sworn affirmed . deposes and says: That he has been
a ?>lomner o f t h e F e d e r a
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the term of t e n y e a r s
fron
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Rice of
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o f -iinerica - - - - :m<i thai neither be nor mi>»>ix»* art
promised, »>r paid »ny consideration for t>r in tin* expectation Si l y j * ol •. .".
appointment.
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s n AM> twoEM to V » H H W * 4

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day of

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GENERAL ACCOUNTING OFFICE. OFFICE OF THE COMPTROLLER GENERAL OF THE UNITED STATES
WASHINGTON. P C .

SIK:
Kivoipt is h e r e b y acknowU

\ y o u r affidavit

December 11,1

-

appointment as a civil officer of the U n i t e d S t a t - - , '., tive
J

This receipt must be submitted to the proper Disbursing
Officer or Disbursing Postmaster as his authority for making payment of salary.

CARL,

By

* The Honorable

IkarrTher 5. Z:c c l e s ,
aber, F e e r 1 " e s e r v .
Washin-ton, : . : .

rd,

* l a tki* HMft oAcw will nil in K»« IMUM and tk« addr— to wtUch b* WMM* r«c«tpt forward*d.

„,_.,-S M also instructions on r m m aide hereof.


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