STATUTORY DECLARATION. I, Annii Churchill, of Kensington-street, SontL Duntdin, in th» Colony of New Zealand, do solemnly mnd iincerely declare that I have carefully read the annexed document, consisting of two folioi. and consecutively numbered from one to two, aud that it contains and is a true and faithful account of ray illness and cure by Clements Tonic, and also contain* my full permission to publish in any way tny statements— which I give voluntarily, without r«> ceiving any payment ; and I naake this solemn declaration conscientiously believing the same to b» true, and by virtue ef the provisions cf an Act ef the Gensral Assembly of New Zealand, intituled "Itio Jutticts of Peace Ad, 1J82." Declared as Dunedin, this tf nth day of March, onl thousaud nine hundrsd and three, before me, J. N. BROWN. J.P.
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Otago Witness, Issue 2650, 28 December 1904, Page 77
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137Page 77 Advertisements Column 1 Otago Witness, Issue 2650, 28 December 1904, Page 77
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