11/20/1891-0019 i ty of TAgaheim, Gal.,
1_Z ...... ? presents his demands on the City of Anaheim, for
the sum of -
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for
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S
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STATE OF CALIFORNIA,
CITY OF ANAHEIM. ss
I do solemnly swear that the above is a just and true account agrainst the City of
Anaheim; that the service therein has been done and performed by me; that the items
hereunto anne -xed are true and correct in every pointand particular.
And that no part thereof has been paid.
SUBSCRI -73 EI) A-ND SWOIZ1,'" TO BEFORI1' MF,, (SIGN HERL)
U7J , ......
THIS .....- ..._.. DAY OF'. -..... _ .... ..........._...._..........._.. .............189
... ..... ............._................. `` ' City Ch'rk.
Terms
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