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Form: 390
1175874
24
Name Hyman Levie
Age, 4W
years
Declaration ofinlention. No 1774
issued by Distuit
Court of Galubuy
on the
Parition, You. 1697 No 1697
to day June AD1914 ,
15
day of
Drunter 9991 19
Name age ofresidente of wife:
maley, 39yrs.
17 Brutn, St. Naturary Count
children Louis 15ys. Rose 13yr.
Names ages and places of residence of minor
Abrhaiu 11yro Harry Geor
17Bullne At.
Costubuly Conce.
Hymun Sevin
Signature of horder.
New Old certificate. Na
Certificate No. 115574 Received
Date. Jan 24
1950
Hymeen Levin
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"ocrText": "Form: 390\n1175874\n24\nName Hyman Levie\nAge, 4W\nyears\nDeclaration ofinlention. No 1774\nissued by Distuit\nCourt of Galubuy\non the\nParition, You. 1697 No 1697\nto day June AD1914 ,\n15\nday of\nDrunter 9991 19\nName age ofresidente of wife:\nmaley, 39yrs.\n17 Brutn, St. Naturary Count\nchildren Louis 15ys. Rose 13yr.\nNames ages and places of residence of minor\nAbrhaiu 11yro Harry Geor\n17Bullne At.\nCostubuly Conce.\nHymun Sevin\nSignature of horder.\nNew Old certificate. Na\nCertificate No. 115574 Received\nDate. Jan 24\n1950\nHymeen Levin"
}