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Furm 390
Nepartifically
1507169
19
Name Hano heo Pederson
Age 32 years
Declaration ofinion. No. 1930
District
Court of Waterbury
onlhe
4 day of December, A.D.1914
Pelition, You. 10 No 2252
15
day of
December ,9.19.2920
Name, age and place of residence of wife:
Clara 22 yrs. 168 Word St.
Waterbuny Come
Names ages and places infresidence, ofminor
children Howard, 2 yrs.
168 Word st.
Waterbany Ct.
Ham Leo Peduces
/Signabire of holder.)
Old milifiante. No
Certificate No. 150 7169 Received
Date December 15
1920
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"ocrText": "Furm 390\nNepartifically\n1507169\n19\nName Hano heo Pederson\nAge 32 years\nDeclaration ofinion. No. 1930\nDistrict\nCourt of Waterbury\nonlhe\n4 day of December, A.D.1914\nPelition, You. 10 No 2252\n15\nday of\nDecember ,9.19.2920\nName, age and place of residence of wife:\nClara 22 yrs. 168 Word St.\nWaterbuny Come\nNames ages and places infresidence, ofminor\nchildren Howard, 2 yrs.\n168 Word st.\nWaterbany Ct.\nHam Leo Peduces\n/Signabire of holder.)\nOld milifiante. No\nCertificate No. 150 7169 Received\nDate December 15\n1920"
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