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Issued by Carom on(Tii'r."or
WQ..l;,..as-"C-l;mm:,--,at WE!S b -l ngto n I r a •
Date of oC;d~r of admission September 27th,,1<]26
Declaration of Intention No.2665 Vol 8 Issued by Clerk of the
Common .tJleas Court of Washington Count ,~a.
on the :3 d day of December ,19 2~
Name,age,and place of residence of wife :Jtnnie age 33,MeadowlandE
a
Names,ages,and places of residence of minor children:Joseph ~O'e 11,
Mar aret a e 10 Annie a e 7 Frank a 8 ~
resid n at a w a
No.2427541 Old
New Certificate N o·------;;('=.=OOI,=.':-,.--:-:...=C.='.'='.I=••=..""::-=ri=...".)-