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Firm 3H11
1507194
44
Name Eruest morten Andersour
Age 34 years
Declaration ofintontion. Air 2239
issued by District
Court Waterbey
onlhe
10 day of February, 9.19.16
You 10 No 2290
Undersignation, the 15 day of
December 0991920
,
Name age and place of rosidence of wife:
ada 31 yes mulberry St
hang aluck.
Ct.
Names ages and plares infrosidence of minor
children: Bertil 6 yrs.
mildred a yrs.
mulberry st.
mangatuck Ct.
brast Martin anderson
/Signature of holder.)
Nipm old No.
Certificate No.
Received
Date
19
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"ocrText": "Firm 3H11\n1507194\n44\nName Eruest morten Andersour\nAge 34 years\nDeclaration ofintontion. Air 2239\nissued by District\nCourt Waterbey\nonlhe\n10 day of February, 9.19.16\nYou 10 No 2290\nUndersignation, the 15 day of\nDecember 0991920\n,\nName age and place of rosidence of wife:\nada 31 yes mulberry St\nhang aluck.\nCt.\nNames ages and plares infrosidence of minor\nchildren: Bertil 6 yrs.\nmildred a yrs.\nmulberry st.\nmangatuck Ct.\nbrast Martin anderson\n/Signature of holder.)\nNipm old No.\nCertificate No.\nReceived\nDate\n19"
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