Clerk: Please File and Record
RECORDING PREPARED & REQUESTED BY:
Noble BemisEarl McGill El Bey
AND AFTER RECORDING MAIL TO:
Name: Noble BernisEarl M
Mailing Location: PO Box
County:
State: Republic of
Use the above mailing location EXACTLY AS PRINTED. SPACE HERE ABOVE FOR RECORDERS USE ONLY
MAIL STATEMENTS TO: clo [Address]
PO BNNs AA,
| Noble BemisEari MeGill El Bey
DECLARATION OF ASSIGNEES UPDATE TO PATENT
[Use to bring patent current]
PATENT Scrip No.
KNOW ALL MEN THESE PRESENT:
That Noble BemisEarl McGill El Bey does severally certify and declare as follows; that I bring up this Land
Patent in my name.
DESCRIPTION OF PROPERTY:
(1) The character of said property so sought to be patented, and legally described and referenced under patent
number listed above
Located upon the Longitude rranrac, Latitude vias
‘SE% of Section 03 in Township 0038 of Range the District of Lands containing one hur od and sixty acres
at ‘and, returned to the GENERAL LAND OFFICE by the Surveyor-
General:
All Patent numbers, Certificate numbers, Key numbers, Lot numbers, Parcel numbers in above
description of property above, et.al.
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