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MARINER'S REGISTER 1 TICKET

Issued ssued pursuant t to > the Act of ia & Ea of ' Victoria, Cap. 112,

G29, of Cirket... 387, Ap by
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Seuen Mune red ANA dX LON A q:

 

 

 

 

 

 

 

 

 

Name ii, y ep. Melb wwe Masrsiw »

Born at_/ Lib Be 2c the County of ppt bLhL PITS

 

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on the —‘ MAT C0 OPE. ii ia De ae

 

 

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Bearer’s Signature>

Issued to the above-named zB Sb

 

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