YEM KOW, whose photograph and signature are hereto attached, being first duly sworn, according to law, deposes and says; that he is and has been for 35 years last past a resident of the City and County of San Francisco, State of California;
That he is a merchant and a bona fide member of the firm of KOW KEE JAN & COMPANY, doing business as dealers in GENERAL MERCHANDISE at #840 Clay Street, City and County of San Francisco, State of California, for over nineteen years last past;
That the following is a true list of all the members of the above named firm and their places of residence;
That the interest of the named members is set opposite their respective names; that the capital stock of said firm is $10,000.00;

NAMES RESIDENCES INTERESTS.
YEM KOW San Francisco, Cal $4000.00
YEM SHING San Francisco, Cal. 500.00
YEM LOY San Francisco, Cal. 500.00
YEM FUNG San Francisco, Cal., 500.00
YEM WAH ON San Francisco, Cal., 500.00
LEE YUK San Francisco, Cal., 500.00
LEE MAN San Francisco, Cal., 500.00
YEE KIM WO San Francisco, Cal., 500.00
YEM CHOW China 500.00
YEM FOO KWONG China 500.00
NG BO China 100.00 [sic]
Yee Jung Din China 500.00
Total $10000.00

[Signed] Yem Kow
Manager

Subscribed and sworn to before me
this 8th day of January, 1904

Thomas S. Burnes
Notary Public
in and for the City and County of San Francisco
State of California.