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iff ms 98 CY C48 Full base of Birth |Ficte'o¢ Beth Gia fanny sie tt Sella to fe periode end places of ‘Disco and ate of Hares aster of previous chi Higss en te of ai (Gea) REPORTED BY watt, GrGY Ia paastuce Of Two WITHESSES) tle Declared tn our pragenca this dy cf NaumBek 1893 | istmeso) as —— | {ctneaa) = {nearea aaa, | (Addcess) _—Batieaal REQORT OF DINTH | Cutt BOR ABROAD OF ParLIPOIME, PARENT Drie Karen mune By peenienaee cy my ara PUTLIEPINS 8M The foregoing intoreation mas a tha Patiipaines BReN 90048 ASBPIO1-S Documentary ‘Stamp Tax Paid Baeaqess N. Berra 1% aL Page 1 of 1, 1 Copy sh siorcrok: a WSEAS Towa | exere BAreAiy | Putt maze _bLeyoue FAs Yetore carriage Eseuio -: Religion — BE | eh SL potas “ussa_a35a | anced by dated ye Cds volte to Late a] Precise perteds and places of Fulllggina residenc 7 iaiaa, Sahrasn ; Postslin, mess) ted tagger Wy tadtuies yticics eartificate froa loal authorities). ‘This : Heat, es ra ne x Sains, Heil guilt etd ENG plot SESpYes Mohs Ticatea Birth Certificate S8A0G by-sttes-or-moxteny copy of mATT age" ContTaGte peapSrE cone ot paremtes | |

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