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Form 390.
1143499
Napartifural
49
Name alfred Simister
Age 39
years
Declaration, ofinlant No 6008
issued by Clerked Common Pleas
Court of Schnylkill County
Penn.
on the
Perition, You. 6 Ad. 1481
25 day of may
Undersigned mathe
16
day of
Namem age and place of residence, of wife:
June
A10.1919
wife deceased
Names ages and places infresidence ofminor
children' Kim, 19 yrs. Trehabut, Wales
Hanry, 17 yrs. state st.
Datentring Come.
16 yrs. Treherbut, Wales
Alfred simister
Signature of holder.)
New Old Nicelfred simister
Certificate
No.
143499
Received
Date aug 16-1919.
19
alfred Simister
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"ocrText": "Form 390.\n1143499\nNapartifural\n49\nName alfred Simister\nAge 39\nyears\nDeclaration, ofinlant No 6008\nissued by Clerked Common Pleas\nCourt of Schnylkill County\nPenn.\non the\nPerition, You. 6 Ad. 1481\n25 day of may\nUndersigned mathe\n16\nday of\nNamem age and place of residence, of wife:\nJune\nA10.1919\nwife deceased\nNames ages and places infresidence ofminor\nchildren' Kim, 19 yrs. Trehabut, Wales\nHanry, 17 yrs. state st.\nDatentring Come.\n16 yrs. Treherbut, Wales\nAlfred simister\nSignature of holder.)\nNew Old Nicelfred simister\nCertificate\nNo.\n143499\nReceived\nDate aug 16-1919.\n19\nalfred Simister"
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