Aff - Toler, Herbert_1/25/1979�
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` STATE OF INDIA:VA
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} , COUNTY OF PIKE ,
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JOHN W. TOLER, being first duly swo'rn upon his oath, says:
That he is 57 years of age; that he is the son of Herbert Dale
Toler; that Herber[ Dale Toler died on July 19, 1965, a resident
of Gibson County, in the State of Indiana. That he left him
survived by his widow, Myrtle Toler, who died on July 23, 19�3,
his daughter, Adelia Toler, and John W. Toler, his son, as his
sole and only heirs at law.
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Subscribed and sworn t@�before me, a Notary Public, in and
for the State of Indiana, this 22nd day of January, 1979.
My. Commission Expires:
� Janua:y 8, 1983
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Rat een oppes - otary bTic
Residing in Pike Countyj 7ndiana