D.


CERTIFICATE THAT MUST BE HELD BY PARTY DESIRING TO OCCUPY OR TO ENTER
UPON THE LANDS OPENED TO SETTLEMENT BY THE PRESIDENT'S PROCLAMATION OF
AUGUST 19, 1893, FOR THE PURPOSE OF MAKING A HOMESTEAD ENTRY OR FILING
A SOLDIER'S DECLARATORY STATEMENT.

No. -----.

BOOTH IN T. ------- N., R. -------, -------, _1893_.

This certifies that -------- has this day made the declaration before me
required by the President's proclamation of August 19, 1893, and he is
therefore permitted to go in upon the lands opened to settlement by said
proclamation at the time named therein for the purpose of making a
homestead entry or filing a soldier's declaratory statement.

It is agreed and understood that this certificate will not prevent the
district land officers from passing upon the holder's qualifications to
enter or file for any of said lands at the proper time and in the usual
manner, and that the holder will be required when he makes his homestead
affidavit, or, if a soldier or a soldier's agent, when he files a
declaratory statement at the district office, to allege under oath
before the officer taking such homestead affidavit or to whom said
declaratory statement is presented for filing that all of the statements
contained in the declaration made by him, upon which this certificate is
based, are true in every particular.

-------- ----------, _Officer in Charge_.