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f'orm of .qGdnrit 10 be taken =, .auo,
{"newspaper_name": "Delaware patriot & American watchman.", "edition": "01", "page": "p2", "byline": ""}
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Beioie me, -, Justice of he Peace ii he coun,vof
-, in tile Of -, personally appeared this dsy
- the attorney named i'll the fore gong power of sto
ney aud made oath that the was not given 10 him by
reason OF any transfer of any attachment levy or seizure
by any legal process whatever Of the pay therein auho
acd to be received, but that the said pay is 10
enrc wholly TO the personal benefit Of tie person by whom
the said power executed.


Witness my hand, this day OF -, in The wear -
Beforc me, -, there insert either Justice Of lhe
Peace or other Magistrate, duly empowered to administer
oaths, in the County Of -, in the State of - person.
ally appeared, this day. -, and -, of the said county.
who did, severally, make OATH that -, by whom he
foregoing declaration subscribed is generally reputi
and believed to have been Officer in the Army Of tie
Revolution, in manner as therein stated.
Witness my hand, this day of -, in The year -


tsigned]


-, Clerk Of the Court Of the County of -, in tie
State Of -, do hereby certify, that before whom
the foregoing afidavts sworn was at the time There
insert either Justice of The Peace or other Magistrate
duly empowered 10 administer oaths and duly empower.
ed 10 administer caths.


In esimony whereof, / have hereuntu set my hand,
Il. 81 and affixed the seal of the said Court, this


DAY OF -, IN the year $500.


[Signedl


ITO be published once week for two months in the
papers authorized TO publish the Laws Of the United States
lune 6. Al