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Form 390. Ne ourtificate 1175817 17 Name Patrick moran Age 30 years Declaration ofintention. No 3193 issued by Clerheal District esaterbury only 26 day of april Perition, You 7 No 1639 Indersigned the 5 dayal September 99919 19 Name age und plare of insidence afwife: mary 38yrs. 59 Lounstary St. Waterbury form. Names agesand places of minor children: Julia. gyro. annie, 4yrs. Robert. 7yrs. mary 6yrs. 59 Lounsburges. waterbury Corn. P atrick Moran /Signature of holder.) Old lew certificate. Na Certificate No. 1175817 Receibed Date Dept. 19 1919 Atrick snoran hrs moran

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Page
19
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Document data

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Core
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Type
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DTO data
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Document identity
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    "ocrText": "Form 390.\nNe ourtificate\n1175817\n17\nName Patrick moran\nAge 30\nyears\nDeclaration ofintention. No 3193\nissued by Clerheal District\nesaterbury\nonly\n26 day of april\nPerition, You 7 No 1639\nIndersigned the 5\ndayal\nSeptember\n99919 19\nName age und plare of insidence afwife:\nmary 38yrs. 59 Lounstary St.\nWaterbury form.\nNames agesand places of minor\nchildren: Julia. gyro.\nannie, 4yrs.\nRobert. 7yrs. mary 6yrs.\n59 Lounsburges.\nwaterbury Corn.\nP atrick Moran\n/Signature of holder.)\nOld lew certificate. Na\nCertificate No. 1175817 Receibed\nDate Dept. 19\n1919\nAtrick snoran\nhrs moran"
}