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Form 390. 1143472 22 Nepartificate Name *George or aitcheson Age, 38 years Declaration No 2502 issued by Destruct Courtry Watering onlhe Z day of October A91916 Perition, You 6 No 1462 Order. signaton, the 15 - dayof March 0991919 Name, age und plare of residence of wife: Sarah 37 years - 15 Benham sp Walerbay tom Names ages and places infresidence ofminor children Thomus George, 11 years, Elizabeth 8 years, 15 Benham Sheet Waterbing Comi George Clitcheon of holder.) Old Na No. 1143474 eccived Date april 40 1919 George Aichchison

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DTO data
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Document identity
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    "ocrText": "Form 390.\n1143472\n22\nNepartificate\nName *George or aitcheson\nAge, 38 years\nDeclaration No 2502\nissued by Destruct\nCourtry Watering\nonlhe\nZ day of October A91916\nPerition, You\n6 No 1462\nOrder. signaton, the 15 - dayof\nMarch\n0991919\nName, age und plare of residence of wife:\nSarah 37 years -\n15 Benham sp Walerbay tom\nNames ages and places infresidence ofminor\nchildren Thomus George, 11 years,\nElizabeth 8 years, 15 Benham\nSheet Waterbing Comi\nGeorge Clitcheon\nof holder.)\nOld Na\nNo. 1143474 eccived\nDate april 40\n1919\nGeorge Aichchison"
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