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Form 3HII
Nancentifigare
1360315
15
NameJacoh Spears
Age, 35 years
Declaration ofintention. 11.1696
issued by Discurt
Count of Coacubuly
14day of march
Perition; You. VIII No 1828
Order. the 15 day of
morals
Name age and place of residence of wife:
nime
Names ages and places of residence of minor
children nme,
gavb Speare /Signature of
holder.)
New Old Na
Certificate No. 1360315 Received
Date april 12 1920
jecole spear
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Context sent to Scholar
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