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Furm 3511
Neepentificate
1711352
2
Name George Woolley
Age, 34 years
Declaration ofintencion. No. 5344
issued by District
Court of exterbary
onlhe
28 day of may AD19 19
Pertion, You. XII No. 2769
Endersigned.com the 15 daysop
march
A91922
Name age cand place of residence of wife:
Sydia 36 yrs. 7 Lewis El.
Names, of residence ofminor
nang atucp. A
children none
George Woolley
(Signature. of holder.)
New Old certificate. Na
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Document data
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DTO data
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Context sent to Scholar
Document identity
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