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Form 390.
Nepartifucally
1143541
41
Age, Name Charles Rosenkeautz
25 years
Declaration, ofinlention. No solders petition first paper
to
issued by District
Country Waterbery
onlthe
29 day of October ,9.1913
Pelition, Yoil. 7 No 1722
4th
day of
September
09999
Name age and place of insidence afriie
single
Names ages and pluces infresidence afminor
children
none
/ Signature holder.)
of
New Old Na
Certificate No. 1143541 Received
Date September 16 1919
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"ocrText": "Form 390.\nNepartifucally\n1143541\n41\nAge, Name Charles Rosenkeautz\n25 years\nDeclaration, ofinlention. No solders petition first paper\nto\nissued by District\nCountry Waterbery\nonlthe\n29 day of October ,9.1913\nPelition, Yoil. 7 No 1722\n4th\nday of\nSeptember\n09999\nName age and place of insidence afriie\nsingle\nNames ages and pluces infresidence afminor\nchildren\nnone\n/ Signature holder.)\nof\nNew Old Na\nCertificate No. 1143541 Received\nDate September 16 1919"
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