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Frim 3511 11 Age, 29 years Name Anthony Balkus Declaration ofintention No 1886 issued by District Court of Waterbury onlhe 31 day of October AD1914 Perition, Yol. X 11 No 2755 Ondersigned.com, the is day of march Name age und place of residence, afuile single Names, ages, and places ofminor children: none anthony Balkus /Signature of holder.) New Old cortifiante. Na

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