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(Signed) C.D. -L. S.-
E.F. -L.S.-
G.H. -L.S.-
(Sealed and delivered in presence of witnesses.)

STATE OF NEW YORK, COUNTY Of _____, ss.

E. F. and G. H., the sureties to the above bond, being severally duly sworn, say, and each for himself says, that he is a resident and holder within this State, and is worth the sum of (a sum double the amount of the annual payment) _____ dollars, over and above all debts and responsibilities, which he has incurred, and exclusive of property exempt from execution.

(Signed) E. F.
G. H.

Sworn to before me this day of _____ 186___ .
STATE OF NEW YORK, COUNTY OF _____, ss.

On the _____ day of _____ 186___, before me personally came C. D., E. F., and G. H., to me known to be the persons described in and who executed the foregoing bond, and severally acknowledged that they executed the same.

(Signed) L. M., a (some officer authorized to take acknowledgments) for said county.

N. B. In case, when the idiot, his parent or guardian is able to provide only for a portion of his support, maintenance and clothing, that part of the condition of the bond included within the brackets --- may, in the discretion of the Superintendent, be omitted; and instead of the bond, therefore, he may take security by note or other written contract or agreement. But in all cases, except the case of a State pupil, there must be a bond for the removal of the pupil.