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Form 390.
1143462
Nepartifically
12
Name Tom Pearson
Age, 39 years
Declaration ofinlance No 2479
isseed by Clerked Dishust
Courts of
Waterbay
on the
18 day Sept A.P.1916
Petition, Yoil. 6 No 1453
-
Order. signed on the
IS
march , 09919
Name age und place of residence afriie:
Auna anna, 40 years
Bristol Thomaster Come
Names ages and places of residence of minor
children:
none
Towl Pearson
/ Signature of molder.)
sin Ole artificate. Na
Certificate No. 1143462 Received
Date april
a Tom Course
1919
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"ocrText": "Form 390.\n1143462\nNepartifically\n12\nName Tom Pearson\nAge, 39 years\nDeclaration ofinlance No 2479\nisseed by Clerked Dishust\nCourts of\nWaterbay\non the\n18 day Sept A.P.1916\nPetition, Yoil. 6 No 1453\n-\nOrder. signed on the\nIS\nmarch , 09919\nName age und place of residence afriie:\nAuna anna, 40 years\nBristol Thomaster Come\nNames ages and places of residence of minor\nchildren:\nnone\nTowl Pearson\n/ Signature of molder.)\nsin Ole artificate. Na\nCertificate No. 1143462 Received\nDate april\na Tom Course\n1919"
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