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Frimm 3HII
6
Nine michael Shugrue
Age 37 years
Declaration ofinion. No 4285
issued by District
of waterbury
onshe
Perition, 10 Ma 2240
10 day of may A.1.1918
Indersignadenthe 15 day of
September 19.1920
Name age and plare of wife:
Katharine 33 yrs.
20750. Elm St. Waterbery Com
Names ages and places infresidence, ofminor
children: Veronaca 4 yrs.
mary / yr.
207 So. Elmist.
waterfary Come
Michael (Signature of (holder.)
Shagone
Na
Cet Nine lifecto No. 15071 56 Received
Date Sept 211
19211
nichael Shugrne
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"ocrText": "Frimm 3HII\n6\nNine michael Shugrue\nAge 37 years\nDeclaration ofinion. No 4285\nissued by District\nof waterbury\nonshe\nPerition, 10 Ma 2240\n10 day of may A.1.1918\nIndersignadenthe 15 day of\nSeptember 19.1920\nName age and plare of wife:\nKatharine 33 yrs.\n20750. Elm St. Waterbery Com\nNames ages and places infresidence, ofminor\nchildren: Veronaca 4 yrs.\nmary / yr.\n207 So. Elmist.\nwaterfary Come\nMichael (Signature of (holder.)\nShagone\nNa\nCet Nine lifecto No. 15071 56 Received\nDate Sept 211\n19211\nnichael Shugrne"
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