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Firm 3HII
40
1883590
Age, 43 years
Name Carmine Squandright
Declaration No 6580
suedly I -istrict
ourtof Waterbary
on the
26 day of Feb AD1921
Velition, Yol. XIII No. 3209
the 15 dayal
Dec. A.1.1923
Jame, age eand place of residence, of wife:
Names, ages and places of residence, of minor
bildron Cellegions 10 yrs. aubnette
8 yrs. amiello 6 grs Cornine
1703 4yro Lakewood alda 2 yrs Road
materbury Come
commine squatriglia
(Signature of holder.)
chectificate No
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