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Form 350 1360303 3 Name edalie magnus Age, 47. Luborman years Declaration ofinlance Na 2125 of Deduct Country Coalubuy onthe / day of September Trues Perition, Vill VIIL No 1813. signed un, the 15 day of march A.1120, Name age and plare of residence aftire Tussis 4440 1051 no mainst. Walebury. Names efforidence of minor childroned 15ys. 1051 no mainst. Watebury, Come Edalie Magnus Lieber man / Signature of holder.) New Old certifiante. Na Certificate No. 1360303 Received Date april 17. 19 ro- Edaliamagnus Lichikeman

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Type
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    "ocrText": "Form 350\n1360303\n3\nName edalie magnus\nAge, 47.\nLuborman\nyears\nDeclaration ofinlance Na 2125\nof Deduct\nCountry Coalubuy\nonthe\n/ day of September Trues\nPerition, Vill VIIL No 1813.\nsigned un, the 15 day of\nmarch A.1120,\nName age and plare of residence aftire\nTussis 4440\n1051 no mainst. Walebury.\nNames efforidence of minor\nchildroned 15ys.\n1051 no mainst.\nWatebury, Come\nEdalie Magnus Lieber man\n/ Signature of holder.)\nNew Old certifiante. Na\nCertificate No. 1360303 Received\nDate april 17.\n19 ro-\nEdaliamagnus Lichikeman"
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