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Furm 3411
14
1883564
Age, Name graper Shilinsky
37 years
Declaration ofinlention. No 2295
by of District
Courts of Waterbary
on the
18 day of
Perition, Vill X 111 No 3118
Order. the 22
Sept. ,9.1123
Name, age and plane of vesidence of wife:
Names ayes and pluces infresidence ofminor
children Edmind 4yrs.
23 ward St
neugatinck CT.
Joseph &
goseph shiliacij
Signoture of holder.)
Old Vew An
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