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Form 390
707631
31
Name
Age, 34 years
Declaration No 1571
issued by District
Court of satesburg Com
on the
4th day of Oct ,9933
Pertion, Yol. V No. 996
march 15th 19-19-1917 day of
Name age, and pluce, of residence, afriie:
Anzje, 25- you
Water
Names ages, and places of of minor
children':
Aldano 5 yrs
annie 3 you
hatesbudy Com
Hesen leg
motiaius Laukaits
Signature of hotder.)
New Old certificate. Na
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Document data
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DTO data
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Context sent to Scholar
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