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No. 6076383 Name SEARS, Herbert Chappel residing at 27 Halsey Road, New Britain, Conn. Age 46 years. Date of order of admission Nov. 30th, 1943 Date certificate issued November 30th, 1943 by the Superior Court at New Britain Petition No. 2976 Herbert chappel Sears (Complete and true signature of holder)

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Document identity
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