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Firm 3911
1645131
31
Name micholas Pelzer
Age 37
years
Declaration, ofinion. No. 2698
issued by District
Court of waterbay
onthe
Perition, You 7 Art 1551
10 day of February ADD
Ondersignadenthe 16 day of
Name
June 0991121
Theresa 22 1yrs 1004 So mainsy
Waterbury Comu.
Names ages, and pluces of residence ofminor
children: Frank 7 yrs.
mary Druew - Seip daughter
1004 So. st.
nyro 7
Waterbury Come
Peher
/Signature of holder.)
New Old No
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