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Form 390.
1143526
26
Nancentificale
Name Paul Kleineidam
Age 46 years
Declaration ofinlance No 1314
issued by District
Bourt Watebury
onlhe
26 day of October AD1912
Perition, Yoil 5 No 1124
signed the 16
0191919
Name, large of residence afriie:
margaret 36 yes. 63 ward St.
waterbary. Com.
Names ayes and places of residence of minor
children: margaret. 15 yrs.
63 w and St.
watering Com
Paul Klancidam
/Signature of holder.)
Novs Old No
Cer tificate No. 1143526 Received
Date Culy 21 1919
Taul Kleincidam
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Context sent to Scholar
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"ocrText": "Form 390.\n1143526\n26\nNancentificale\nName Paul Kleineidam\nAge 46 years\nDeclaration ofinlance No 1314\nissued by District\nBourt Watebury\nonlhe\n26 day of October AD1912\nPerition, Yoil 5 No 1124\nsigned the 16\n0191919\nName, large of residence afriie:\nmargaret 36 yes. 63 ward St.\nwaterbary. Com.\nNames ayes and places of residence of minor\nchildren: margaret. 15 yrs.\n63 w and St.\nwatering Com\nPaul Klancidam\n/Signature of holder.)\nNovs Old No\nCer tificate No. 1143526 Received\nDate Culy 21 1919\nTaul Kleincidam"
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