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Form 3411
17
1987317
Name Mathan Schalman
Age, 31
years
Declaration No 7067
issued by District
of Waterbury
onthe
5 day of noo 191121
Perition, You. X XIV 3394
Ontersignation, the 16
daysof
June
A.1.1924
Name, age and place afuife:
Names ages and places, of residence ofminor
children Solomon. - 5- yrs.
201 walment ST.
Naturary Ct
Mathan Schalman
Signaure of holder.)
New Old cerlifiante. No
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Context sent to Scholar
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"ocrText": "Form 3411\n17\n1987317\nName Mathan Schalman\nAge, 31\nyears\nDeclaration No 7067\nissued by District\nof Waterbury\nonthe\n5 day of noo 191121\nPerition, You. X XIV 3394\nOntersignation, the 16\ndaysof\nJune\nA.1.1924\nName, age and place afuife:\nNames ages and places, of residence ofminor\nchildren Solomon. - 5- yrs.\n201 walment ST.\nNaturary Ct\nMathan Schalman\nSignaure of holder.)\nNew Old cerlifiante. No"
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