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Form 390.
1143486
385
Name Dolimm thoughts
Age
22 years
Declaration ofinlance No 807
of
issued by ursind
Court Walnbury
6 day of Feb.
Pelition, Vill
V
No 1144
Intersigned you the 15
Jane
"
Name age and plane of residence * MCS.
nine.
Names ages and places of residened
children
/ Signature of holder.)
785020
Old liw certificate. Aa 1143486
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Context sent to Scholar
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