 | George Wertz Raff - 1862 - 512 էջ
...that the said and are known to me as sur~ geons in actual practice, reputable in their profession, and that I have no interest, direct or indirect, in the prosecution of this claim. ( Magistrate's Signature. ) The REGULATIONS and FORMS prepared by the Commissioner for invalid cases,... | |
 | August Valentine Kautz - 1864 - 336 էջ
...(Signature of witnesses.) Sworn to and subscribed before me, this day of -, AD 186—; and I hereby certify that I have no interest, direct or indirect, in the prosecution of this elaim. (Signature of judge or other officer.) E. FORM OP DECLARATION OF ORPHAN SISTERS FOR ARMY PENSION.... | |
 | Robert Sewell - 1865 - 380 էջ
...to, subscribed, and acknowledged before me, this 10th day of November, AD 1863; and I hereby certify that I have no interest, direct or indirect, in the prosecution of said claim. [Seal of Court.] E. GILCHRIST, Clerk of Hudson County. This declaration must be supported... | |
 | Benjamin Vaughan Abbott, Austin Abbott - 1866 - 758 էջ
...facts that, here set forth the grounds of belief, that he is the person he represents himself to be], and that I have no interest, direct or indirect, in the prosecution of this claim. • [Signature of magistrate.] 450. Certificate of Official Character and Signature. STATE OP County... | |
 | United States. Congress. House - 1866 - 852 էջ
...(Signatures of witnesses.) Sworn to and subscribed before me, this day of , AD 186 — ; and I hereby certify that I have no interest, direct or indirect, in the prosecution of this claim. (Signature of judge or other officer. ) INSTRUCTIONS. If the declarant, or any witness, signs by mark,... | |
 | Henry Clay Harmon - 1867 - 420 էջ
...certify that the said and are known to me as surgeons in actual practice, reputable in their profession, and that I have no interest, direct or indirect, in the prosecution of this claim. (Magistrate's signature.) ARMY OP THE UNITED STATES. Certificate of Disability for Discharge. [To be... | |
 | Theophilus Parsons - 1869 - 716 էջ
...certify that the said and are known to me as surgeons in actual practice, reputable in their profession, and that I have no interest, direct or indirect, in the prosecution of this claim. (Magistrate's signature.) GUARDIAN'S CLAIMS UNDER SECTION 4, ACT OF JIII-V tit, 18O8. Guardians, in... | |
 | United States - 1869 - 96 էջ
...the applicant and witnesses before swearing, includingthe words , erased, and 5 the words , added ; and that I have no interest, direct or indirect, in the prosecution of this claim. (Official signature.) (The person administering the jurat should sign his own name.) 10 For application... | |
 | John Gaylord Wells - 1871 - 626 էջ
...[Signature of the wilnm. ] Sworn to and subscribed before me, this day of , AD, 18— ; and I hereby certify that I have no interest, direct or indirect, in the prosecution of this chum. [Signature of judge or other officer]. SPECIAL INSTRUCTIONS. Where the certificates of the certifying... | |
 | John Gaylord Wells - 1875 - 628 էջ
...Siffnatwe.] Sworn to and subscribed on the day and year first above written, before ; and I hereby certify that I have no interest, direct or indirect, in the prosecution of tlm claim. [Signature of Judge or other Officer.] This must be accompanied by a certified copy of the... | |
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... and that I have no interest, direct or indirect, in the prosecution of this claim, /seal/ Official character NOTES. 
