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Furm 3911 1360359 9 Crichton Age 46 years Declaration ofintention. 113392 issuedly District of (Galebrey onthe 11 day of may Perition, VIT No 1892 signed on the 15 day of march 0991020 NAME age if residence afriie: Olizabill 44 yrs. 78 Orange St. Names ayes and places ofminor children David 164rs, Gerru 13yrs John 10yr. James. 5yrs. 78 Orough Street Statecbucy Cane / Signature of hotder.) New Old cortifiante. Na John brichton Certificate No. 13603597 Received Date april 24 1920 John brichton

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    "ocrText": "Furm 3911\n1360359\n9\nCrichton\nAge 46 years\nDeclaration ofintention. 113392\nissuedly District\nof (Galebrey\nonthe\n11 day of may\nPerition, VIT No 1892\nsigned on the 15\nday of\nmarch\n0991020\nNAME age if residence afriie:\nOlizabill 44 yrs.\n78 Orange St.\nNames ayes and places ofminor\nchildren David 164rs,\nGerru 13yrs\nJohn 10yr.\nJames. 5yrs.\n78 Orough Street\nStatecbucy Cane\n/ Signature of hotder.)\nNew Old cortifiante. Na John brichton\nCertificate No. 13603597 Received\nDate april 24 1920\nJohn brichton"
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