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553128
28
hames mehan
Allo 23 years
Declaration ofintention No 321
issuedly Clerking District
Count of Waterburg
29 ,day July statled
Connecticut
Deliviour, Yoil. QV No 835
Ondersignadurethe 15th day of
Name age and place afriie:
September 19.1915
none
Names ages, and places presidence ofminor
children nome
James meehan
/Signature of holder.)
New Old certifiante. No
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