Page 71 - Main Second Asbo Book1
P. 71
Form MG11A
RESTRICTED (when complete)
<
Page No . .... bot .. __ ..
Pc D - "M (' V\A\ l.._L. -At--J
Continuation of Statement oL - ·--------·-··- . - --· .... _ .. ! . ,_ -··
. . . . . . . . - . ·. .·
·
..
...
-
.
--
.
-·-~ ......... _ . , .............. ,,. _____ ......... · ... , . -···-.. ········-···-···············--····•·- ··-··•··--· ...... .... ·····-···••"" .. ······ ·•······ ......... , ......... , ............ ,---- ···•···--·· ______ .. , .. ,-\· ····-----. ·~ ·-····· ·-··••" ,• --·-\ ... ···-·
.... -~·· .. .... ,., __ ___ .. ----~--.. -· .... _.,, .. · ... -........... -,,----· .,,. _ , , , .. ... ,.,_._ ·····-···•··-- ··• .. ··-········· .. -·· .. , .... ---~-- .. . . ·•·· ······ .. ....... .. .. -.. -··· ... , . .. ···- ~- --·•-··. '""" •'•·· ···•· ........ ' ..... .
,
,
\
•
.
u • ••• .• - • n>•o• •o o ,• M .... O, · o • • •• Ho• O ... ,-., .. .,. .. _ ... ... . . ~ . . . ... ., ... . , ' "•- •·• · • • .. •••, • •• , . - • •••· .--n•• ·• •••• • ••••••• ~ , ., . ,_ _ •--••--• " ........... ... . ....... .-•••iO••• • .. • ••·- •• • .. • • .... ..... . ••·•n .. • ••• •••• -- • · • •- --- • •-- •·-- ••-• • ••• •• •••• .. • .. ••• • •
•
······-· ··· · .. . . ... . .......... .. ...... . c. . .... :.,-t ... •--.. ., ................... ............. .. .... , .. ... ....... , ...... ...... .... ___ _, .. , ··•·
.
.
Sign;;iture .... /,ill.·~---' 1~A,l / '( Signaturcl witnessed by ...... • ....
62