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3HI Necopenitically 2107190 40 Long Adanchik Age 37 years Declaration No 10110 issued ly Common Pleal Courbof Middlescy, County only A91919 Perdion, You 4 No. 58. 2 8H Lefthall daysof 19.1925 age care and place ofresidence wife: Conn. Names ofminor children Michael Ag Byr 9412 - 3yrs all usidey bayfied ardien Gre 41lloys John Betomobh / Signature of holder.) New Old cortificale. No

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Page context
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    "ocrText": "3HI\nNecopenitically\n2107190\n40\nLong Adanchik\nAge 37 years\nDeclaration No 10110\nissued ly Common Pleal\nCourbof Middlescy, County\nonly\nA91919\nPerdion, You\n4 No. 58. 2\n8H\nLefthall\ndaysof\n19.1925\nage care\nand place ofresidence wife:\nConn.\nNames ofminor\nchildren Michael Ag Byr\n9412 -\n3yrs\nall usidey bayfied\nardien Gre 41lloys\nJohn Betomobh\n/ Signature of holder.)\nNew Old cortificale. No"
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