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Form 390.
1143494
44
Nicopentifically
Name Edward Patrick me Donald
Age 26
years
Declaration ofintencion. No 2280
insured by Blerkof District
Court of watering
onthe
7 day of march ,9.19.16 ,
Palition, You. 7 No 1520
the 16 day of
Name age and place of residence, of wife:
June
9991919
single
Names agesand places if residence, ofminor
children
none
Edward Patricle M: Donald
/Signatire of holder.)
New
Old Certificate Na No.
Date guey,
1919!
EdwardPatricklan Donall
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"ocrText": "Form 390.\n1143494\n44\nNicopentifically\nName Edward Patrick me Donald\nAge 26\nyears\nDeclaration ofintencion. No 2280\ninsured by Blerkof District\nCourt of watering\nonthe\n7 day of march ,9.19.16 ,\nPalition, You. 7 No 1520\nthe 16 day of\nName age and place of residence, of wife:\nJune\n9991919\nsingle\nNames agesand places if residence, ofminor\nchildren\nnone\nEdward Patricle M: Donald\n/Signatire of holder.)\nNew\nOld Certificate Na No.\nDate guey,\n1919!\nEdwardPatricklan Donall"
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