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Form 390. 1143539 39 Name albert Jassbender Age, 43 years Declaration No 1506 issued by of District Waterberry onlhe Parition, 5 day Yoil. of July 5 No ,9.1913 1110 Ondersignadenthe 16 dayal Name way and place of insidence afriie: June 19.1919 gabrielle, 51 yrs. typer Names agesand places infresidence Wilion City Road Walikary Ct. children none Albert Fassbender (Signature of hotder.) New Old Na Certificate No. Date aug 11. Gllert Fass len des 1919

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    "ocrText": "Form 390.\n1143539\n39\nName albert Jassbender\nAge,\n43 years\nDeclaration No 1506\nissued by of District\nWaterberry\nonlhe\nParition, 5 day Yoil. of July 5 No ,9.1913 1110\nOndersignadenthe\n16\ndayal\nName way and place of insidence afriie:\nJune\n19.1919\ngabrielle, 51 yrs. typer\nNames agesand places infresidence\nWilion City Road Walikary Ct.\nchildren none\nAlbert Fassbender\n(Signature of hotder.)\nNew Old Na\nCertificate No.\nDate aug 11.\nGllert Fass len des\n1919"
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