District Court, Judicial District.

Be it remembered, that on this ____ day of _______, 18__, _______ appeared in the district court of the _____ judicial district of the State of _______, and for the county aforesaid, the said court being a court of record, having a common law jurisdiction and a clerk and seal, and applied to said court to be admitted to become a citizen of the United States of America, pursuant to the several acts of congress of the United States of America for that purpose made and provided; and the said applicant having thereupon produced to the court such evidence, declaration and renunciation, and having taken such oaths as are by the said acts required: Thereupon it was ordered by the said court that the said applicant be admitted, and he was accordingly admitted by the said court to be a citizen of the United States of America.

In testimony whereof, I have hereunto subscribed my name and affixed the seal of the court aforesaid, this ____ day of _______, A.D. 18__.

Clerk of said Court.

SATISFACTION OF JUDGMENT.

State of _______,}
County of ______}ss

District Court, Judicial District.

(Title of Cause.)

The judgment in the above entitled action, rendered in _______ county, _______, on the ____ day of _______, A.D. 18__, and duly docketed in the office of the clerk of the district court of said county, on the ____ day of _______, A.D. 18__, for $____ in favor of _______ against _______, is paid and satisfied in full; and the clerk of said court is hereby authorized to discharge said judgment of record.

In testimony whereof, _______ has hereunto set _____ hand and seal this ____ day of _______, A.D. 18__.