USA > Indiana > Porter County > Miscellaneous Licenses Porter County, Indiana > Part 1
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O. E. MURRAY, President.
ED. J. HAZEL, I st. Vice President.
E. G. HAZEL, 2 nd. Vice President.
D. L. BALLENTINE, Secretary.
J. K. LUNDY, Treasurer and Manager.
PUBLISHERS, BOOK-SELLERS, PRINTERS Book, Newspaper and Magazine Work A SPECIALTY.
The PATRIOT
323-325 DEARBORN STREET, Chicago,q. - 1893 Mr E.C. O Neill Valparaiso Ind
I have no data from which to fill enclosed blank , In this state all this is obtained. when the issuance of the license. Have Lost Mr. Hitis address.
If there is a separate blank used it should accompany the heime . Sorry if that incompletos your way It is the best that Ican furnial.
Q.E Muras Mangan Pack
5.
FILED.
JUL 31, 9.21 AM 190( C. S. PEIRCE CLK. P. C. S. CT.
DENTISTRY LICENSE
STATE OF
I Kowy & White Clerk of the Starke
Circuit Court in the State of Indiana
do hereby certify that Glem & Dalson
has complied with the laws of
...
Indiana relatingto the practice of dentistry in the Country aforesaid. See Page 481. Acts 1899.
Witness my handand the seal of said Courtthis 2/1 ox day of July 1899.
Heavy & White
Clerks
WTB.Burford, Lab Induumpoks Jnd.
FORM 222.
PHYSICIAN'S APPLICATION -FOR- LICENSE.
James 6. Dale
Applicant.
DIPLOMA CLAUSE.
FILED.
DEC-3, 111 6 AM 1896
E. L. WILSON CLK. P. C. CT.
Filed
189
Clerk.
Journal Job Print, Indianapolis.
Recorded
Dentists
Physician's Application for License. &-
(DIPLOMA CLAUSE.)
State of Indiana,
Porter
County, sct:
Before me, Clerk of the Circuit Court within and for said County and State, personally appeared .. 1 Jan 6. Dale Dentistry
who now applies for a license to practice Medicine, Surgery and Obstetrics, under an act of the General Assembly of the State of Indiana, approved April 11, 1885, and said applicant being
duly sworn, on path says that he is a regular graduate of. Northwestern University
Chicago Illo.
the same being a reputable Medical College, and the diploma granted by said College, he now exhibits to the Clerk of the Circuit Court of the County first aforesaid.
games. E. Dali.
Subscribed and sworn to before me, this ......
3rd
day of
December
18.96, and I certify that said affiant
exhibited to me the diploma referred to in this affidavit.
G.L. Wilson
Clerk.
Clarence L. Hill
State Board of Dental Examiners
STATE OF
INDIANA.
NP 1417
Thisis to certify that Clarence L. Hill D.O.5 having complied with all the requirements of the Laws of the State of Indiana, relating to the practice of dentistry and havingsatisfied
the State Board of Dental Examiners
that he is properly qualified and entitled to registration is hereby authorized by said Board to practice dentistry in the State of Indiana. In Testimony Whereof the said Board of Examiners haveduly signed this certificate and caused it's official seal to be affixed jat Indianapolis this 20 day of july in the year 1901
Melville a. Mason DD.S. President. Frederic R. Henshaw 509
Frank M. Sparks DOS.
A.L. Sling U.s. D.08.
Secretary.
W"B Burford, Lith Indianapolis Ind.
DVDS
1'
Edgar V. Jones Camporany Vermist
F
AUG-1, 5.1 9 PM/ 1904
C. S. PEIRCE . CLK. P. C. CT.
777M12
30080
7%
DENTISTS' PERMIT.
No. 1025
Know all Men by these Presents, that,
WHEREAS, The law regulating the practice of dentistry in the State of Indiana, Approved March 6, 1899, authorizes any three members of the State Board of Dental Examiners to grant a permit to practice dentistry to any person who shall possess the diploma of a reputable dental college, recognized by the Board, who has filed with the Secretary of the Board his application for a certificate of qualification ;.
Nom, Therefore,
Edgar Vance forced
THIS IS TO CERTIFY, That ....
having filed with this Board his application for a certificate of qualification, showing that he is a graduate of a reput- able dental college, recognized by the Board, is hereby authorized to obtain from the Clerk of the Circuit Court in the County in which he proposes to practice, a temporary license, which license shall expire at the time of the meet-
ing of the Board,.
13 th /905-
Dated Juice 27 # 1904,
M.G. Masni DDP
A.Q. Seushaug &. Z.F.
Pres.
CARD
10 Cept Documentary Stamp.
F. M. Opako O.D.V.
IS
D. L. Stine HDDS
VILL
liel
Sec'y Board of Examiners.
NOTEN The holder of this permit is not authorized to practice dentistry until it has been presented to the Clerk of the Circuit Court of the County in which he proposes to practice, and a temporary license showing date of expiration has been issued thereon.
George R. Jones
***
STATE OF
COUNTY OF
NDIA
Jaren Chauder leck ofthe Riscinsko Circuit Court, in the State
of Indiana,do herebycertifythat Surge R. Fres hascomplied with the laws of Indianarelating to the practice of Dentistry in the County aforesaid. - -
Witness my hand and the seal of said Court this / Th dayof July 1599
Cheuf Chandler
Clerk.
SENTINEL PRINTING CO.IND.PLS.
Jesse Keehn
007249:31AM-
E. L. WILSON
ATTR. C. S. C ..
:
1
State Board of Dental ExaminerS
STATE OF
INDIANA.
1416
Thisisto certify that Jess I Keehu
5.05.
having complied with all the requirements of the Laws of the State
of Indianarelating to the practice of dentistry and havingsatisfied
the State board of Dental Examiners
that he is properly qualified and entitled to registration is hereby authorized by said Board to practice dentistry in the State of Indiana. In Testimony Whereof the said Board of Examiners haveduly signed this certificate and caused it's official seal to be affixed! attendopreis this 20 day of que, inthe year 1901
,01.60 CC.
Melville a. Mason D.D.S. President. Frederic R. Neuchau 2De
Frank M. Sparks DDOS.
As. R. Stie mis.o.o.s. Secretary.
W7B.Burford, Lath Jadianapolis Ind.
5
DENTISTS' PERMIT.
No. 1046
Know all Men by these Presents, that
WHEREAS, The law regulating the prachy of dentistry in the State of Indiana, Approved March 6, 1899, authorizes any three members of the State Board ) Dental Examiners to grant a permit to practice dentistry to any person who shall possess the diploma of a reputable dental college recognized by the Board, who has filed with the Secretary of the Board his application for a certificate of qualification,
Lion. Therefore,
THIS IS TO CERTIFY, That . DIE Febre
having filed with this Board his application for a certificate of qualification, showing that he is a graduate of a reput- able dental college, recognized by the Board, is hereby authorized to obtain from the Clerk of the Circuit Court in the County in which he proposes to practice, a temporary license, which license shall expire at the time of the next meet-
.ing of the Board, ..
January She 19.5%.
Dated ...
Middle Forum, July 28th- 1906.
8. 8m. C undy DAS. Pres.
R.D
10 Cent Documentary Stamp.
alix Jameson DAS.
F.R. Senchawn S.D.
, Secy Board of Examiners.
of this permit is not authorized to practice dentistry until it has been presented to the Clerk of the Circuit Court of the
County in which he proposes to practice, and a temporary license showing date of expiration has been issued thereon.
Francis Edward
Ling
FILED
FEB 18 1910
State Board of Dental Examiners, STATE OF INDIANA.
2198 No. 52205
This Certifies That the Clerk of any Circuit Court in the State of Indiana, to whom this certificate, with the original registration certificate of corresponding number is presented, is hereby authorized to issue license to Maccio edward Nica
to practice dentistry in his county, and to retain this certificate as the evidence of his authority to issue such license, returning the original registration certificate to the holder.
In testimony whereof the said Board of Examiners have duly signed this certificate and caused its official seal to be affixed at Mideanapolis , this .. day o Jazy of , in the year 199Q.
alex SavisenDAS. President Fra From 228 Jaghviddie Das Fred, Kinderson DOS. M. Queskaia NO. Secretary
999999999
Bd, Ninon
IR.
FILED. JUL 24, 114 7 AM 100 ℃
C. S. PEIRCE CLK. P. C. CT.
WB Burford.L.
STATE OF
Harold H. Wheeler. Clickofthe Lake. Circuit Court in the State of Indiana
do hereby certify that C. A. Nixon, S. D.S. has complied with the laws of-
Indiana relatingtothe practice of dentistry in the Country aforesaid. See Page 481, Acts 1899. Witness my handand the sealy 15Th Wheelen Clerk
-dayof September1902
W"B.Burford.L
Lawrencek Runkle
IT/T& 1.
. KILLI
5
State Board of Dental Examiners
STATE OF
INDIANA. S
Nº 1854
This is to certify that Lawrence R. Dunkle, DAS,
having complied with all the requirements of the Laws of the State
of Indiana,relating to the practice of dentistry and havingsatisfied
the State Board of Dental Examiners
that he is properly qualified and entitled to registration is hereby authorized bysaid Board to practice dentistry in the State of Indiana. In Testimony Whereof the said Board of Examiners haveduly signed this certificate and caused it's official seal to be affixed at ladescapoli this = 7" day of fame in the year 1904
President.
M. a. Mason DOS,
FM. Opako OSS. F. G. Newchary 5 D. L. Stine MODOS Secretary
11-B.Burford, Lith Indianapolis Ind.
Arthur Smith
2255
State Board of Dental Examiners STATE OF INDIANA.
This Certifies, That the Clerk of any Circuit Court in the State of Indiana, to whom this certificate, with the original registration certificate of corresponding number is presented, is hereby authorized to issue license to Arthur A Duih
to practice dentistry in his county, and to retain this certificate as the evidence of his authority to issue such license, returning the original registration certificate to the holder.
In Testimony Mherenf, the said Board of Examiners has duly signed this certificate and
caused its official seal to be affixed at. Indianapolis 1, this 30h day of January
, in the year 191/ allex Jameson DOS.
President
Fred & Underson DOS.
FIKKE
FredR Heuchau S.L
Secretary
entered page 21.
-
MAY -6 1907
Clerk, Portar Circuit Court
5252 525
252525
Dentist's License
The State of Indiana, Grant County, Set:
mr. Canon
ack
Clerk of the Circuit
Court of Grant County, in said State, do hereby certify that John C. Branham
has complied with the laws of the State of Indiana relating to the practice of Dentistry, and is hereby authorized to practice Dentistry in said County.
Witness my hand and the Seal of said Court,
this
-day of
1900
My Carmack Clerk.
252525252525212025292525
State of Indiana, Grant County, ss : William Gammack
Clerk of the Circuit Court 9,
of GRANT COUNTY and State of Indiana, do hereby certify that
the sworn statements required by the act regulating the practice of Dentistry, upon which
" the above and foregoing License is issued have been duly recorded in a book provided"
and kept for that purpose, on page.
25
Witness my hand and seal of said Court, this
17
day of ...
September , 900
MR Commack
Clerk.
175252525252625252525212525252625262525252525252625252525252525252525262525252525252525252625252525252525262526
252525
252
25252585
5252525254525252525
52525252525252
APPLICATION OF Akary 1 adams
FOR HUNTER'S LICENSE.
xxxx
FILED
12/30
190.
7
C. S. PEIRCE, CLERK.
APPLICATION FOR HUNTER'S LICENSE.
To the Clerk of the Porter Circuit Court:
Pursuant to the requirements of section 13 of an Act of the General Assembly of the State of Indiana, approved March 2, 1901, and amended at the session of 1903, for the Protection and Preservation of Game, I, the undersigned, a non- resident of the State of Indiana, hereby apply for license under said act.
My name is
My occupation is that of a manufacture
My place of residence is
6846 So. Park ave
City of
Chicago
., County of.
Cook
State of
DESCRIPTION OF APPLICANT: Age 30 years; height 5 feet 5 inches;
weight /30 pounds; complexion. Light ; color of hair. Dark
color of eyes.
Blue
Distinctive Marks:
State of
County of.
do solemnly swear that I.
the above and foregoing statement is true.
Henry J. Odaux
Subscribed and sworn to before me this
day of.
190.
Witness my hand and official seal.
Notary Public.
(NOTICE .- The above application must be sworn to before a notary public and forwarded to C. S. Peirce, Clerk of the Circuit Court, Valparaiso, Indiana; accompanied with an unmounted photographic print of the applicant, not larger than 2x3 inches, and also a draft, certified check or post office money order for $25.50, the fee for such license. License will then be issued and forwarded to address of applicant.
APPLICATION OF Harry & adam
FOR HUNTER'S LICENSE.
MAR 121910 Ciers, Porter Curent Court Estiver FILED
FILED
3/12
1900
C. S. PEIRCE, CLERK.
APPLICATION FOR HUNTER'S LICENSE.
To the Clerk of the Porter Circuit Court:
Pursuant to the requirements of section 13 of an Act of the General Assembly of the State of Indiana, approved March 2, 1901, and amended at the session of 1903, for the Protection and Preservation of Game, I, the undersigned, a non -. resident of the State of Indiana, hereby apply for license under said act.
My name is Henny, J. adams
My occupation is that of a
Man
My place of residence is
6846 South Parkce Curry
City of.
Chicago
., County of.
book
State of
:
DESCRIPTION OF APPLICANT: Age 32 years; height. 5 feet 5'/2 inches;
weight.
145 pounds; complexion.
Fair
; color of hair.
color of eyes.
Blue
Distinctive Marks:
nous
State of
Indiana
County of.
Pouli
do solemnly swear that I, HEum N. adams
the above and foregoing statement is true.
Henry J. adama
Subscribed and sworn to before me this.
12
day of March 1900
Witness my hand and official seal.
PCC asParce Clark Notary Publier
NOTICE .- The above application must be sworn to before a notary public and forwarded to C. S. Peirce, Clerk of the Circuit Court, Valparaiso, Indiana, accompanied with an unmounted photographic print of the applicant, not larger than 2x3 inches, and also a draft, certified check or post office money order for $25.50, the 'fee for such license. License will then be issued and forwarded to address of applicant.
fealbright
'SĘP 16 1907
Clock, Porter Getit Court
APPLICATION FOR RESIDENT HUNTER'S LICENSE.
Z. T. SWEENEY,
COMMISSIONER OF FISHERIES AND GAME, COLUMBUS, INDIANA.
SIR:
I beg to state that I am a resident of.
Hebron P. O.,
Township, County of Partir State of Indiana, and inclose One Dollar herewith, for which you will please send me resident license for one year. I am 04 years old, 0- feet 9 inches high. weigh /00 pounds; complexion Light , color of hair. Gray color of eyes Brown, distinctive marks:
(Applicant sign name on above line.)
The above described person receives his mail regularly at this post office.
Mr. Inmarrow
At
Indiana.
Postmaster.
Mr.
At
Indiana.
. Justice of Peace:
N. B .-- When License is received, Parties must permanently attach Photograph before License is valid. Either Postmaster or Justice of Peace may sign this Application. 16 TAKE NOTICE. The Law makes no provision for Duplicates. If License is lost a duplicate will not be' furnished, unless a sworn Statement, new Application and additional Fee of 25 cents is forwarded.
Pesident Hunter's License.
STATE OF INDIANA, COUNTY. OF.
Portes
., SS:
This Certifies, That.
a resident of.
Bouts
P. O.,
Mieuxaut Township,
Poster County, State of Indiana, has complied with the law authorizing " the issuance of hunting licenses to residents of the State of Indiana, and is hereby licensed to hunt anywhere in the State of Indiana, for the period of one year from the date of this license.
DESCRIPTION OF LICENSEE.
Age 46 years; Height 6 feet /
inches; Weight /5 1bs.
Complexion
Jan; Color of Hair
Color of Eyes:/
Distinctive Marks:
Signature of Licensee
a. L. arnold
Witness, The signature and seal of the Commissioner of Fisheries and Game,
at Columbus, Indiana, this. 23
day of : Stel 190
tracina
'Commissioner of Fisheries and Game.
No. 41617
1 Paste
Photograph of Licensee Here.
IPTAKE NOTICE. The Law makes no provision for Duplicates. If License is lost a duplicate will not be furnished, unless a sworn statement and additional Fee of 25 cents is forwarded.
APPLICATION FOR RESIDENT HUNTER'S LICENSE
Clerk Circuit Court for County of
Costi.
Sir-I beg to state that I am a resident of.
P. O.
Pleasant
Township, County of Cater State of Indiana, and inclose One Dollar herewith, for which you will please send me resident license for one year. I am 27 years old, feet 11
inches high, weigh 155 .pounds; complexion Park ., color of hair. black color of eyes Das distinctive marks: Mathan. Bell
(Applicant sign name on above line)
The above described person receives his mail regularly at this post office.
Mr.
At Indiana ..
Postmaster.
MT
At Indiana.
Justice of Peace.
1 .
Either Postmaster or Justice of Peace may sign this application, or some one known to the Clerk.
WM. B. BURFORD PRINT, IND'PLS
APPLICATION OF ORGarnett.
FOR HUNTER'S LICENSE.
FILED
MAR 1- 1910 Esprince
resume Weh 4/10
FILED
.. 190.
C. S. PEIRCE, CLERK.
COOK
.....
APPLICATION FOR HUNTER'S LICENSE.
To the Clerk of the Porter Circuit Court:
Pursuant to the requirements of section 13 of an Act of the General Assembly of the State of Indiana, approved March 2, 1901, and amended at the session of 1903, for the Protection and Preservation of Game, I, the undersigned, a non- resident of the State of Indigna, hereby apply for license under said act.
My name is O. R. Barnett
My occupation is that of a
Lawyer
My place of residence is.
Village
Glencoe
City of.
County of.
Cook
State of
Illinois
DESCRIPTION OF APPLICANT: Age 41 years; height dry feet -inches; 1
weight 210 pounds; complexion medium; color of hair
Brown
color of eyes.
Distinctive Marks: none.
State of
Illinois
County of.
Cook
Otto R. Kannett
do solemnly swear that
the above and foregoing statement is true.
Subscribed and sworn to before me this
28%
day of.
February 1990
Witness my hand and official seal ..
COOL
PUBLIC .......
Parcial IFTruman
Notary Public
(NOTICE .- The above application must be sworn to before a notary public and forwarded to C. S. Peirce, Clerk of the Circuit Court, Valparaiso, Indiana, accompanied with an unmounted photographic print of the applicant, not larger than 2x3 inches, and also a draft, certified check or post office money order for $25:58, the fee for such license. License will then be issued and forwarded to address of applicant.
-
I, ..
1
Resident Hunter's License.
STATE OF INDIANA, COUNTY OF
Torten
SS:
This Certifies, That,
Gerald Bartholomew
a resident of.
Valparacar
P. O.,
Township, Toster County, State of Indiana, has complied with the law authorizing the issuance of hunting licenses to residents of the State of Indiana, and is hereby licensed to hunt anywhere in the State of Indiana, for the period of one year from the date of this license.
DESCRIPTION OF LICENSEE.
AgeG & years; Height 5 feet 8
inches; Weight/50 lbs.
Complexion darle ; Color of Hair black;
Color of Eyes.
Distinctive Marks:
Signature of Licensee
Witness, The signature and seal of the Commissioner of Fisheries and Game, at Columbus, Indiana, this. 25'
day of ......
190.
Paste
Photograph
of
Licensee
Here.
Commissioner of Fisheries and Game.
NO. 41628
. ITAKE NOTICE. The Law makes no provision for Duplicates. If License is lost a duplicate will not be furnished, unless a sworn statement and additional Fee of 25 cents is forwarded.
Chia Lv Del. 913/11
Valparaiso land
Non Resident Dis hermo
Incensi for halten Geluid and for farver and move to.
a I Franco auco
voirto Third
Comclose
210. cyx
-
APPLICATION OF Un Banoil-
Vortek
er COOK GOGUEN
FOR HUNTER'S LICENSE.
FILED
Mich 8.
1900
C. S. PEIRCE, CLERK.
APPLICATION FOR HUNTER'S LICENSE.
To the Clerk of the Porter Circuit Court:
Pursuant to the requirements of section 13 of an Act of the General Assembly of the State of Indiana, approved March 2, 1901, and amended at the session of 1903, for the Protection and Preservation of Game, I, the undersigned, a non- resident of the State of Indiana, hereby apply for license under said act.
My name is
My occupation is that of a
Contraídos
My place of residence is
4356 Hr. adams St
City of.
Chicago.
, County of.
Cook
State of
Illinois
DESCRIPTION OF APPLICANT: Age 14 years; height. 5 feet 8"; feet. inches;
weight.
165.
pounds; complexion.
Train
; color of hair. Black:
color of eyes.
Blue
Distinctive Marks:
State of
County of
Cook
do solemnly swear that
I,
William Benoit
the above and foregoing statement is true.
Subscribed and sworn to before me this.
15h
day of March
1900.
Witnessmy hand and official seal.
cool
Notary Public. HauMania
NOTICE .- The above application must be sworn to before a notary public and forwarded to C. S. Peirce, Clerk of the Circuit Court, Valparaiso, Indiana, accompanied with an unmounted photographic print of the applicant, not larger than 2x3 inches, and also a draft, certified check or post office money order for $25 50, the fee for such license. License will then be issued and forwarded to address of applicant. 15,50
1
APPLICATION FOR RESIDENT HUNTER'S LICENSE
Clerk Circuit Court for County of
Partir
Sir-I beg to state that I am a resident of ...
Boone Grove P. O. Brou Porter Township, County of. Porter
, State of Indiana, and inclose One Dollar herewith, for which you will please send me resident license for one year. I am 1
22 years old, 5 # feet 11 inches high, weigh. 140 pounds; complexion fair »,-color-of-hair. Brown, color of eyes
distinctive marks: none 1 archu Berrier
(Applicant sign name on above line)
The above described person receives his mail regularly at this post office.
Mr. JBWoods
At. BOONE GROVE, IND ... Indiana.
Postmaster.
. Mr:
Justice of Peace.
At." Indiana. .
Either Postmaster or Justice of Peace may sign this application, or some one known to the Clerk.
WM. B. BURFORD PRINT, IND'PLS
1905-
APPLICATION OF
FOR HUNTER'S LICENSE.
C. K. P. C. C.T.
C. S. PEIRCE ]
MAR1 0,104 1 AM 1900
COT220 43411004
C. S. PEIRCEL
C.K. D. C. S. C.
FILED
.190
C. S. PEIRCE, CLERK.
-
APPLICATION FOR HUNTER'S LICENSE.
To the Clerk of the Porter Circuit Court:
Pursuant to the requirements of section 13 of an Act of the General Assembly of the State of Indiana, ayproved March 2, 1901, and amended at the session of 1903, for the Protection and Preservation of Game, I, the undersigned, a non- :
resident of the State of Indiana, hereby apply for license under said act.
My name is -James F. Kind
My occupation is that of an
auditor
My place of residence is
257 - 8. 617
City of
Chicago
, County of.
Cook
State of
Illinois
DESCRIPTION OF APPLICANT: Age) 2 years; height: 5 feet 10 inches;
weight.
200
pounds; complexion.
light
; color of hair.
grey
color of eyes.
blue
Distinctive Marks:
State of
Illinois
County of
Cook
I, James & Pid
do solemnly swear that.
the above and foregoing statement is true.
Subscribed and sworn to before me this.
.. day of ..
9th March
190J
Witness my hand and official seal.
R. E. Methim
Notary Public.
NOTICE .- The above application must be sworn to before a notary public and forwarded to C. S. Peirce, Clerk of the Circuit Court, Valparaiso, Indiana, accompanied with an unmounted photographic print of the applicant, not larger than 2x3 inches, and also a draft, certified check or post office money order for $25.50, the fee for such license. License will then be issued and forwarded to address of applicant.
:
APPLICATION OF Jámes
Bird
FOR HUNTER'S LICENSE.
WAR25,4.20FX 100C "c. S. FOINCE C.K. P. C. CT.
FILED
190
C. S. PEIRCE, CLERK.
/
-
APPLICATION FOR HUNTER'S LICENSE.
To the Clerk of the Porter Circuit Court:
Pursuant to the requirements of section 13 of an Act of the General Assembly of the State of Indiana, approved March 2, 1901, and amended at the session of 1903, for the Protection and Preservation of Game, I, the undersigned, a non- resident of the State of Indiana, hereby apply for license under said act.
My name is
James A. POrel
My occupation is that of an
audition
My place of residence is 257- 617 51
City of
Chicago
County of ....
Cook
State of
illinois
. DESCRIPTION OF APPLICANT: Age 53 years; height 5 feet 10 inches;
weight too pounds; complexion. lights ; color of hair grey
color of eyes.
blue
Distinctive Marks:
State
County of ...
Book
do solemnly swear that
I,.
James J. Rick
the above and foregoing statement is true.
James FRina
Subscribed and sworn to before me this
17Th day of
March 1906
Witness my hand and official seal.
h. E. McPherson
Notary Public.
1
NOTICE .- The above application must be sworn to before a notary public and forwarded to C. S. Peirce, Clerk of the Circuit Court, Valparaiso, Indiana, accompanied with an unmounted photographic print of the applicant, not larger than 2x3 inches, and also a draft, certified check or post office money order for $25,50, the fee for such license. License will then be issued and forwarded to address of applicant. $1000
APPLICATION OF
FOR HUNTER'S LICENSE.
D'ERE
WOLVEN
FILED MAL
190.
C. S. PEIRCE, CLERK.
APPLICATION FOR HUNTER'S LICENSE.
To the Clerk of the Porter Circuit Court:
Pursuant to the requirements of section 13 of an Act of the General Assembly of the State of Indiana, approved March 2, 1901, and amended at the session of 1903, for the Protection and Preservation of Game, I, the undersigned, a non- resident of the State of Indiana, hereby apply for license under said act.
My name is James J. Bind
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