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Form 390
1175883
33
Age 39. years
Declaration ofinlention. No 31d8
issued by Destrict
Court of Catebury
099 day of april 9/10/7 mith
Perition, Vil. VII No you
Intersignation, the
15
day of
December
Name. age and place ofresidente
Rose 29
238Bauk Dr. Walebour
Names ages and places of residence of minor Come
Romania 14400.
Mary Tayro.
238Bank Street
toatubuy bour
fuderick firacuss
(Signature, of holder.)
New Old certificale.
Nin,
Cer tificate No.
Date Jaw 12
1924
proberick Sirucusa
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"ocrText": "Form 390\n1175883\n33\nAge 39. years\nDeclaration ofinlention. No 31d8\nissued by Destrict\nCourt of Catebury\n099 day of april 9/10/7 mith\nPerition, Vil. VII No you\nIntersignation, the\n15\nday of\nDecember\nName. age and place ofresidente\nRose 29\n238Bauk Dr. Walebour\nNames ages and places of residence of minor Come\nRomania 14400.\nMary Tayro.\n238Bank Street\ntoatubuy bour\nfuderick firacuss\n(Signature, of holder.)\nNew Old certificale.\nNin,\nCer tificate No.\nDate Jaw 12\n1924\nproberick Sirucusa"
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