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1280148
48
Name Otts Gumma Young
Age, 57.
years
Declaration No 18389
issued by u. A statist
Distuit of Rhode below
on the
3 day, of april 9.19.1917
Perition, Yol. VIII No 1806
Ondersignature the 15 day of
morch 19.1920
Name aye und place of wife:
nancy 25
164 Hill St. Waterary
Names ages, und plaves
children
none
Ottagunnor
of holder.
your
New Old contifiante. Na
Certificate No 1550148Received
Date
april 10 1920
yours
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