Page:Manual of The Mother Church.djvu/212

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INSTRUCTIONS FOR APPLICATION

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APPLICATION.

II. — (Continued.)

SIGNED, ENDORSED, AND COUNTERSIGNED, ACCORDING TO ARTICLE VI, SECT. 2.

FORM 2, — (Continued.)

Name ..... Miss Emma L. French .....

Street and Number ..... 293 Emerson St., .....

Town or City ..... New York .....

State ..... N. Y. .....

Date ..... Jan. 2nd, 1901. .....

 I cordially approve this applicant.

(a) ..... Miss Mary E. Grant, C.S. .....

Countersigned by ..... James B. Brown, C.S.D. .....

DO NOT DETACH.

To the Applicant:  Please fill out the following for the use of the Treasurer of the Church:

Name ..... Miss Emma L. French ..... Street and Number ..... 293 Emerson St. ..... Town or City ..... New York ..... State ..... N. Y. .....