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Furm 3511 1507164 14 Name David Brady Age, 37 years 3630 Declaration ofinication. 6,1917 issued by District Court of Waterbury onthe Perition, You. 2242 6 day of June 01907 15 day of December 09.1920 Name, age. and place 37yrou38 Washingtownt Names ages and places of residence ofminor childron Robert, 9 yrs. John 7 yrs- David 5 5yro many type michael 3 yrs. 1st live Edward year. Form, 38 Washington st. muchael - Liberty st. Eaward 59 south Walebury view st Can David Brady Signature of holder.) Hew Old certificate Air Certificate No. 1507164 Received Date Edecember 15 1920

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    "ocrText": "Furm 3511\n1507164\n14\nName David Brady\nAge, 37 years\n3630\nDeclaration ofinication. 6,1917\nissued by District\nCourt of Waterbury\nonthe\nPerition, You. 2242\n6 day of June 01907\n15\nday of\nDecember\n09.1920\nName, age. and place\n37yrou38 Washingtownt\nNames ages and places of residence ofminor\nchildron Robert, 9 yrs.\nJohn 7 yrs- David 5 5yro\nmany type michael 3 yrs.\n1st\nlive Edward year.\nForm, 38 Washington st.\nmuchael - Liberty st.\nEaward 59 south Walebury view st Can\nDavid Brady\nSignature of holder.)\nHew Old certificate Air\nCertificate No. 1507164 Received\nDate Edecember 15 1920"
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