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Form 390.
1143464
14
Name Oscan Signil Moyd
Age, 35 years
Declaration ofinlention. No 34%
issued by District
Courtey Waterley
onlhe
Perition, You 6 No 1532
14 day of May 9997
Undersigned the 15 day of
march 99999
,
Name age and place ofresidente of wife:
none
Names ages and places of residence
children
none -
Chenorably Dischar pred
Soldier Onler out of may 8,
1918 )
Oscandighic. / Signature stoyd of Hulder.)
New bld cerlificale. Aa
Certificate No. 1143464 Received
Date april 3
1919
Osean signid royd
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"ocrText": "Form 390.\n1143464\n14\nName Oscan Signil Moyd\nAge, 35 years\nDeclaration ofinlention. No 34%\nissued by District\nCourtey Waterley\nonlhe\nPerition, You 6 No 1532\n14 day of May 9997\nUndersigned the 15 day of\nmarch 99999\n,\nName age and place ofresidente of wife:\nnone\nNames ages and places of residence\nchildren\nnone -\nChenorably Dischar pred\nSoldier Onler out of may 8,\n1918 )\nOscandighic. / Signature stoyd of Hulder.)\nNew bld cerlificale. Aa\nCertificate No. 1143464 Received\nDate april 3\n1919\nOsean signid royd"
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