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Form 350
Necessentifate
1360391
41
David Golaman
Alle 25 years
Declaration of inlending No 60837
issued by Supremm
huolini County
newyork onlhe
5 day of Feh 19.1913
Perition, You. VIII No 1942.
signed un the 15 dayal
march 09990
Name age amepplace of residence, of wife:
Single
Names ages and places of residence ofminor
children Single
Joseph David Goldman
/Signature of holder.)
New Old Na
Cet No. 1360391 Received
Date april 8
1920
Joseph David Goldman
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Context sent to Scholar
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