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Form 390. 1143533 33 Necoptribute Name Karl Kubik Age 45 years Declaration, ofindenian No 2093 issuedly Blerked D intrict Court of waterbury onthe Pelition, Yol. No 1272 19 day of June ,9.1915 Ondersigned. the 16 day of Name agound place, of residence, of wife: June 9191919 Eleanor 39 yrs. West Cheshire, Come. Names agesand places, children none Karl Kulik (Signature of holiter.) New Old Na Kanl It Certificate No. 1143533 Received Date Oct. 15 19/9- Karl Kubik

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    "ocrText": "Form 390.\n1143533\n33\nNecoptribute\nName Karl Kubik\nAge 45 years\nDeclaration, ofindenian No 2093\nissuedly Blerked D intrict\nCourt of waterbury\nonthe\nPelition, Yol. No 1272\n19 day of June ,9.1915\nOndersigned. the 16 day of\nName agound place, of residence, of wife:\nJune 9191919\nEleanor 39 yrs.\nWest Cheshire, Come.\nNames agesand places,\nchildren none\nKarl Kulik\n(Signature of holiter.)\nNew Old Na Kanl It\nCertificate No. 1143533 Received\nDate Oct. 15\n19/9-\nKarl Kubik"
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