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Status: Indexed

State of California,
County of Santa Clara }ss.

On this 24th day of May in the year one thousand
nine hundred, before me, S. W. Charles,
Notary Public in and for the County of Santa Clara,
personally appeared Jane L. Stanford and W. A. Sutherland,
as President of the Chi Psi Lodge Association of the Leland Stanford Jr. University and J. P. Bernard
as Secretary of the said Chi Psi Association
known to me to be the persons described in, whose names are subscribed to, and who
executed the within instrument, and they acknowledged to me that they executed
the same.

In Witness Whereof, I have hereunto set my hand, at my office in
the Town of Palo Alto County of Santa Clara
the day and year in this Certificate first above written.

SW Charles

Notary Public in and for the County of Santa Clara,
State of California.

Crocker's Blank No. 130N. - ACKNOWLEDGMENT. - General. (122.) H. S. Crocker Company, San Francisco and Sacramento, Cal.

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