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No. 5607645 Name SHLEMON, SOPHIE residing at 151 Washington Street, New Britain, Conn. Age 45 years. Date of order of admission Nov. 17th, 1942 Date certificate issued November 17th, 1942 by the Superior Court at New Britain Petition No. 1855 S ophir Shlemon (Complete and true signature of holder)

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Document identity
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