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Furm 3911
1683877
27
Name Steve Skimba
Age, 27
years
Declaration ofinlention No 3651
issued by of u. S. District
Court of new Haven
onthe
Perition, You. XI No 2687
23 day of August A.D.1916
the 15 day of
December A91921
Name age, and place of wife
many 23 yrs. 98 Itill St
Walibury Come
Names, ages and places of residence of minor
children
none
Steve Skimba
/Signature of holder.)
New Old Na
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Context sent to Scholar
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