This certificate is not transferable. The holder will display the
certificate, if demanded, after locating on claim.



E.


DECLARATION REQUIRED BY PRESIDENT'S PROCLAMATION OF AUGUST 19, 1893,
PREPARATORY TO OCCUPYING OR ENTERING UPON THE LANDS OF THE CHEROKEE
OUTLET FOR THE PURPOSE OF SETTLING UPON A TOWN LOT.

No. ----.

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

I, ----, of ----, being desirous of occupying or entering upon lands
opened to settlement by the President's proclamation of August 19, 1893,
do solemnly declare that I have not entered upon or occupied, nor will I
enter upon or occupy, any of the lands to be opened to settlement by the
President's proclamation of August 19, 1893, in violation of the
requirements of said proclamation, and that I desire to go in upon said
lands for the purpose of settling upon a town lot.

-------- --------.

I certify that the foregoing declaration was made and subscribed before
me this ---- day of ----, 1893.