page_0005

Facsimile

Transcription

Status: Page Status Needs Review

patent-number: 941

land-owner-1-first-name-middle-name:

land-owner-1-last-name:

land-owner-2-if-present-first-name-middle-name:

land-owner-2-if-present-last-name:

land-owner-3-if-present-first-name-middle-name:

land-owner-3-if-present-last-name:

land-coordinates: Select Option

continued: Select Option

of-the: Select Option

continued: Select Option

land-coordinates-2-if-present: Select Option

continued-if-present: Select Option

of-the-if-present: Select Option

continued-if-present: Select Option

section-number:

township-number:

continued: Select Option

range-number:

continued: Select Option

county-location:

number-of-acres:

date:

governor:

secretary-of-state:

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