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Frim 3511
35
1883585
Name Luigi Ercoli
Age, 42 years
Declaration ofindening No 5876
isued by District
Waterbary
on the
14 day of Feb
Tetition, YOU No 3202
Corder. 15- day of
Dec.
09919 23
lame, age and plane of voidom of wife
Names ages and places of residence of minor
hildren John Zime step. - child
13 yrs Frank zims step.
child 10yrs. mary Ercoli
5yrs.
573 East main St.
Waterbary Come
luigi Eride
(Signature of holder./
Wel in artificity. Aa
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