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Form 390.
1492 3
Nechantificate
553101
1
Name
Age, 29
years
Declaration of intention. No 2109
issued by circuit
nother
of nor ADD108
Patition, You IV No 845
Ondersignation, the 13 th day of
June
09915
Name, age and pluce
Names ages and places of minor
Wateriday Conn.
annie age 28yrs. resides
Henry 2 Symp
9 years
resolving Natesbury
Heirrich Heilmann
/Signature of holder.)
New Old Na
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Document data
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DTO data
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Context sent to Scholar
Document identity
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