Aff - Mayhugh, Martha A_10/22/1964�
STATE OF INDIANA
SS:
COUNTY OF GIBSON
AFFIDAVIT
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Ihis is to certify that Martha A. Brown is now Martha A. Brovm
Mayhugh, by marriage.
Tnis is also to certify tnat I, 67artha A. Brown Mayhugh, wish
the change made on my �ax statement to read Mar?ha A. Brown Mayhugh.
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/ (N�artha A. Bruwn hlayhugh) � � JJ%�
Subscribed and sworn to before me this 22nd day of October, 1964.
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-, - :' . _ /' Notary' Puelic
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� My,.Commission Expires
�. 'Jurie 7, 1967
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