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Form 390.
1143527
27
Naportificalle
Name Leo Gerard
Age 34 years
Declaration ofinlention. No 14003
issuedly of District Court U.S. of the
Pennsylvania
ondhe
27 day of December ADD100
Patition, You.
5 No 1171
Intersigned wathe
16
day of
Name age and pluce of residence, of wife:
June
A.1.1919
Elizabeth. 25yrs. 38 Elizateth St.
Waterbany Com.
Names
children: Leon, 2 yrs.
38 Elizateth It.
waturary.com
Lev Gerard
(Signature of holder.)
New Old cerlifiante. Na
Certificate No. 1143521 Recatued
Date July 9th
1919
Leo Gerald
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"ocrText": "Form 390.\n1143527\n27\nNaportificalle\nName Leo Gerard\nAge 34 years\nDeclaration ofinlention. No 14003\nissuedly of District Court U.S. of the\nPennsylvania\nondhe\n27 day of December ADD100\nPatition, You.\n5 No 1171\nIntersigned wathe\n16\nday of\nName age and pluce of residence, of wife:\nJune\nA.1.1919\nElizabeth. 25yrs. 38 Elizateth St.\nWaterbany Com.\nNames\nchildren: Leon, 2 yrs.\n38 Elizateth It.\nwaturary.com\nLev Gerard\n(Signature of holder.)\nNew Old cerlifiante. Na\nCertificate No. 1143521 Recatued\nDate July 9th\n1919\nLeo Gerald"
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