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Form 390.
1143476
26
Ne certificate
Name Aubert Dughes
Age 39 years
Declaration ofinition. No 2163
issued by of District
Court of w atent
on the
9 day of
Perition, You. 6 No 1472
Ontersigned the 15 day of
March 9.19.1919 ,
Name, age und plave of residence of wife:
Clara 38 yrs, 69 Ridge St
Watering Ton
of residence
children Edith, 18yrs, Doris 16 yrs,
Elsie 15 yrs, derbert 8 years
Com
69 Rid ge 50 Watering
Herbert Signature of holder.)
thughes
New Old cerlificale. Na
"celeproate No. 1143476 Received
Date M anh 29
1919
Herbert foughes
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"ocrText": "Form 390.\n1143476\n26\nNe certificate\nName Aubert Dughes\nAge 39 years\nDeclaration ofinition. No 2163\nissued by of District\nCourt of w atent\non the\n9 day of\nPerition, You. 6 No 1472\nOntersigned the 15 day of\nMarch 9.19.1919 ,\nName, age und plave of residence of wife:\nClara 38 yrs, 69 Ridge St\nWatering Ton\nof residence\nchildren Edith, 18yrs, Doris 16 yrs,\nElsie 15 yrs, derbert 8 years\nCom\n69 Rid ge 50 Watering\nHerbert Signature of holder.)\nthughes\nNew Old cerlificale. Na\n\"celeproate No. 1143476 Received\nDate M anh 29\n1919\nHerbert foughes"
}