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Dependents 

[[3 column table]]

Names | ages | [[blank]] |

Lizi | 5 | year
Ollif | 6 |
Jack | 3 |
Harry | 1 |
Jake | 7 |
John |  6 |
Pink | 3 |
Laura | 8 | months

Executed in presence of
W.J. Thompson
B.F. Thompson
W Barnes Jr.
N. C. Hathorn