Aff - Cross, Elmer H_4/30/1956�
ST9TF �F IN�IANA)
)SS
COUI�iTY OF GIBSON)
�
� nn��1 �� �Jl.fl-4A/ , being first ;uly
sworn on his oath, says that on or about February �� 955�
one of the smaller dwelling houses located on the following
described real estate, to-vrit:
Lots No. 59 and 60 in Broadleigh Park Addition
to the Town of Princeton, Gibson County, Indiar_a.
was destroyed by fire. At the time the d=:relling house burned
the 2�t was not covered by insurance. That no improvements
have been added to said real estate since said dwelling house
burned ar.d the assessed value of the improvements destroyed by
fire should be deducted from the assessed value of said real
estate.
�Gc-�c.-t�c/ /Y i �d�_
, i 9 56 .
Subscribed arid sworn to before me this�day of �,
. = ;:r`- �
. `
' _Mv=commission er.pires
��__ -