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.