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Form 390
1175823
23
Name Edward martin millin
Age, 24 years
Declaration ofinlention. No 2867
issued by Clerkof District
Bourtof waterbury
17 day of march
Perition, Yoil.
7 No 1644
the
s
day of
September
09909
Name age and place ofresidente
Elsie, 23 yrs. Unity St.
Watebury Some
Names, ages and places of residence of minor
children Florence, 4yrs.
Elizabeth, 5yrs.
unity Sh
Waterbary, Com
E dward Martin Molin
(Signature, of holder.
New Oll certificale. No
Cer tificate No. 1175823 Received
Date Sept. 18 1919
Edward Martin molin
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Document data
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Context sent to Scholar
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"ocrText": "Form 390\n1175823\n23\nName Edward martin millin\nAge, 24 years\nDeclaration ofinlention. No 2867\nissued by Clerkof District\nBourtof waterbury\n17 day of march\nPerition, Yoil.\n7 No 1644\nthe\ns\nday of\nSeptember\n09909\nName age and place ofresidente\nElsie, 23 yrs. Unity St.\nWatebury Some\nNames, ages and places of residence of minor\nchildren Florence, 4yrs.\nElizabeth, 5yrs.\nunity Sh\nWaterbary, Com\nE dward Martin Molin\n(Signature, of holder.\nNew Oll certificale. No\nCer tificate No. 1175823 Received\nDate Sept. 18 1919\nEdward Martin molin"
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