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Form 390.
Name Michael Scallond
1175851
1
Age, 49 years
Declaration ofinication. No 3368
issued by District
Coatubuy
only
10 day of may 9997
Patition, You VII No 1656
Intersigned the 15 day of
Drawnst
your age and place of wife:
tileu Hayes, researce envice an.
A Come.
Names ayes and places if residence afminor
children:
Mannue 19yrs
Thomas 164x-3
there 12yrs. changilud
measact. 840s.
J
Dover.
Hichael S canlon
Signature of hotder.)
Old
Received
Date
Jan14 1920
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- Core
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"ocrText": "Form 390.\nName Michael Scallond\n1175851\n1\nAge, 49 years\nDeclaration ofinication. No 3368\nissued by District\nCoatubuy\nonly\n10 day of may 9997\nPatition, You VII No 1656\nIntersigned the 15 day of\nDrawnst\nyour age and place of wife:\ntileu Hayes, researce envice an.\nA Come.\nNames ayes and places if residence afminor\nchildren:\nMannue 19yrs\nThomas 164x-3\nthere 12yrs. changilud\nmeasact. 840s.\nJ\nDover.\nHichael S canlon\nSignature of hotder.)\nOld\nReceived\nDate\nJan14 1920"
}