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Form 390.
1143495
45
Age
Name william Walkousystein
28 years
Declaration of intention. No 1742
issuedly District
Court of Waterbary
9 day of may 19.1914
mitho
Perition, You. 6 , A 1486
16
day of
Name age June and place ofresidence of wife:
A91919
Julia, 29 yrs.
Names agesund places, of residence of minor
59 Drayer use Watebury Come
children none
William
/Signature of holdert
New Old corlifiante. Na
Certificate Received
Date. 3
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Context sent to Scholar
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