Proof of debt of workmen

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..... on behalf of the workmen and others employed by the above-named company, solemnly affirm and say: That the above-named company was, on the.....day of.....20..., and still is justly and truly indebted to the several persons whose names, addresses and descriptions appear in the Schedule below in sums severally set against their names in column 7 of the said Schedule for wages due to them respectivel .....

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