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Form 390.
13
Nepartificate
707613
Name John Sugare
Age, 36 years
Declaration No. 1601
issued by Districk
Court Com of Phatesburg
onlhe
1st day of Mov.
Pelition, No 1070
Order. signed march the 09914 day of
15th
Name, age und place of residence of wife:
24 Huller M.Datesburgh
Mellie, 3 began
Names infresidence of
children
Catherine 8 yrs.
Gestaude 3 give
margant 6 you
John 1 aps
Hatesbury Com
John / Sirpature of
Sugrose
holder.)
New Old Na
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