Viewing page 50 of 60

IN WITNESS WHEREOF, the parties hereto have caused these presents to be duly executed in triplicate by their proper officers the day and year first above written. 

[[blank line]]
Purchaser 
[[blank line]]
[[blank line]]
Address
THE UNITED STATES OF AMERICA
[[blank line]]
Director, Bureau of Mines.

APPROVED:
[[blank line]]
Secretary of the Interior.

I, [[blank line]], certify that I am the [[blank line]] secretary of the corporation named as the purchaser herein; that [[blank line]] who signed this contract on behalf of the purchaser, was then [[blank line]] of said corporation; that said contract was duly signed for and in behalf of said corporation by authority of its governing body, and is within the scope of its corporate powers. 

[[blank line]]
Corporate seal

APPLICATION TO PURCHASE HELIUM
FROM UNITED STATES DEPARTMENT OF THE INTERIOR 
BUREAU OF MINES

This space is for recording by the Bureau of Mines and is not part of the application.
Application No. [[blank line]]  Date [[blank line]]
Received [[blank line]]
Rejected and applicant notified [[blank line]]
Report prepared and contract sent applicant [[blank line]]

Name of Applicant [[blank line]]
(use name under which contract is to be made)
Address [[3 blank lines]]
Date [[blank line]]

6263
-16-

Transcription Notes:
Deleted formatting notations, per transcription guidelines

Please note that the language and terminology used in this collection reflects the context and culture of the time of its creation, and may include culturally sensitive information. As an historical document, its contents may be at odds with contemporary views and terminology. The information within this collection does not reflect the views of the Smithsonian Institution, but is available in its original form to facilitate research. For questions or comments regarding sensitive content, access, and use related to this collection, please contact transcribe@si.edu.