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Frim 3HII 30 1987330 Age, 22 years Name George Swing Kay. Declaration of intention No 6410 issuedly District of materbury on the 4 day of Dec, AD1920 Pettion, Yol. XIV No. 3417 Ondersigned The 16 day of A.D.19 24 , Name, age and place of residence, of wife: Names, ages, and places of residence, ofminor 553 Mortd main ST. Shirley I you pratesting Ct. Genge swing Kay. Signhture of holder.) New Old No

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