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Form 3HII
4
Age 23 years
Declaration No 2727
insued by of Distuit
Coalubuy
My
online
16 day of February 19.1920
Patition, Vel IX No sont.
Intersignation, the 15 day of
march 0991020
Name age and place of residence ef riie
none
Names, ages, and places, of residence, of minor
none
Lanrence Bambo
Signature of holder.)
New Old corlifiante. No
Certificate No 12501041 Received
Date 10
19 20
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Context sent to Scholar
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