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What is your name?: Jona Goodall
What is your age? (years): 46 October 13 1941
What is your occupation?: farming
Where is your residence?: Brightwood
Where were you born?: yes
Are you married?: yes
What was your wife's name before marriage?: Elnora Banks
Are you married to more than one woman?: no
Have you children?: one
Do your wife and children enjoy good health?: yes
Are you sound in body?: yes
Are you subject to any periodic complaint which is liable to render you unable to follow your usual employment, or which is calculated to shorten life, and thereby render yourself, wife, and children a burden to this Lodge?: no
Will you faithfully obey the laws and submit to all the penalties that may be imposed, should it ever be proved that you have made a false statement?: yes
Dated:
Signed : Jona Goodall
Witnessed: :
Witnessed: William M Weaver
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