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3HII
10
Age, Name Robert 21 James Jurner
years
Declaration No 4365
isseed by District
Courself wateriary
onthe
Perition, Yol. XII No 2777
20 day of July 19.1918 ,
the 15 days of
march 09912
Name, age and place of residence unwife:
single
Names ages, and pluces, ofresidence of minor
children none
Robert James Lurner
/Signature of holder.)
New Old certificate. Na
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Document data
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DTO data
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Context sent to Scholar
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