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Frimm 3511 44 1883594 Age, 40 years Name hurgant Elizabette Date Leclaration ofintention. No 6837 issed by District wour of waterbury onthe Pelition, Yoil. XIII A 3216 28 day of may the 15 day of Dec 191923 Jame, age and place offrosidence of wife James ages and places efrosidence of minor hildren Margard Elizabeth Dedom (Signature of holder.) w An

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