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Form 390.
1175880
30
Name Amodas Martin
Age, 47 years
Declaration ofintention. No 3282
issued by Clerke of Arbuit
of Cratebury
onthe
s day of may
Perition, You. VII No.1you
Ondersigned. the
15
day of
Describter
None age und place of residence effirite:
Lergia 46 6yrs. % Wordst.
(batebacy boun.
Names
wife died august 6.19.9.
Unsclla 1900 Hmidas 100s.
any Alem 104rs.
Frank 1400. albut 12yrs
camp that
Coun.
I'll amida m and
(Signature of hotder.)
New Old cerlificale.
Certificate Na No. 1175880 Received
Date Febir
19Y0
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"ocrText": "Form 390.\n1175880\n30\nName Amodas Martin\nAge, 47 years\nDeclaration ofintention. No 3282\nissued by Clerke of Arbuit\nof Cratebury\nonthe\ns day of may\nPerition, You. VII No.1you\nOndersigned. the\n15\nday of\nDescribter\nNone age und place of residence effirite:\nLergia 46 6yrs. % Wordst.\n(batebacy boun.\nNames\nwife died august 6.19.9.\nUnsclla 1900 Hmidas 100s.\nany Alem 104rs.\nFrank 1400. albut 12yrs\ncamp that\nCoun.\nI'll amida m and\n(Signature of hotder.)\nNew Old cerlificale.\nCertificate Na No. 1175880 Received\nDate Febir\n19Y0"
}