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Form 350
1360319
19
Name Pasquall Labriola
Age, 26
years
Declaration, ofintention. No 3268
issued by District
Walebury
onlhe
/ day of may 9/101]
Perition, You VIII No 1833
signature the 15 day of
morch 09911020
Authorize and place of wife:
Cosic 284r
290 So moie St,
naughteric Come.
Names ages. and places. of residence of minor
children autmette 44r.
Garmela 1yr
290 Souich main St,
mangaturic
Come
Pasqual Labriota
(Signature of holder.)
Old
Neup Certificate No. No. 1360319 Receiped
Date apul is
19*70
Tarquale Labrisk
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"ocrText": "Form 350\n1360319\n19\nName Pasquall Labriola\nAge, 26\nyears\nDeclaration, ofintention. No 3268\nissued by District\nWalebury\nonlhe\n/ day of may 9/101]\nPerition, You VIII No 1833\nsignature the 15 day of\nmorch 09911020\nAuthorize and place of wife:\nCosic 284r\n290 So moie St,\nnaughteric Come.\nNames ages. and places. of residence of minor\nchildren autmette 44r.\nGarmela 1yr\n290 Souich main St,\nmangaturic\nCome\nPasqual Labriota\n(Signature of holder.)\nOld\nNeup Certificate No. No. 1360319 Receiped\nDate apul is\n19*70\nTarquale Labrisk"
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