]
{"newspaper_name": "Delaware patriot & American watchman.", "edition": "01", "page": "p4", "byline": ""}
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Form d declaration 10 b. maee ~ e aoncomnss.ned Of


fcers .Nn2c,ans, and Prttatfs
For Tie parIuse "t al9ng tive benefit of " An act lo
relief Of suNylg officers and s,lcis Of tht
Amy II ,he r. yols'iun," approved on the 5h OF May,
1923 -, OF -, n t.lr County OF -, il the STATE
Of - do Ii, acelue tia en ,rd III 'he Cnntinen
ia l. Lne Of he 3 af ,ie ReNaunn. ol and dl'ing the
war, aud tt "a. n.is uHtl is term nation
ahich peiiod va ii paoral. VI -ican Or Pr
yate ht Ca, 8l, e., i. G; tam --'s e. lmpany,
ne Il Nv ~ Agc AID alsp declare
nat ntet tattl, t-i e,e't''c, 10 tr. reward Ct
I { t, lollas. IN hrt lsttii t.t, uarr u
Gong c.s ras.e3 + 1911! & y, l7T


And tNifhe dncf. 5c ia4i ut the htiernta
ds of Marc, 1925 ~ tie lens On List Of tie United
siaes.


ISL atil


Before ne ---, ete irseit either Justice OF the
Peace othrr uss-t ss, dny empowered administer
ahs, the C tns -- the State of -, person.
a'y Appeared tins s,, -, and , ofthe SAID County,
no did seye. ah h hal -, by whom the fore
snn: decla,at bscnbcd, is generally reputed and
believed have officer in the A. my Of the Revolu-
nom b herein stated


Wrnts, ny hand, ;ias day of -, in the year -.


[Sgned]


I, - Clctk Of tie Court of the County Of -, in the
I ug aiilavs sworn, was, al the time, - (Jus
ter Il thr Peace, the may be- and duly en-
pow red ID administer oaths


~ testimony whereof have hereunto Sc; IT, hand,
Ir. 81. and affixed the seal Of The said Court, ihs -


day Ut - in the year ----.


ISlgnedl