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No. 6264144
Name DYKERMAN, Abram Decl XXXYL rg 81
rol 69 rg 65
residing at 491 North Main Street, Waterbury, Connecti
cut
Age 45
years. Date of order of admission April 11, 1944
Date certificate issued April 11, 1944
by the
Superior
Court at Waterbury, Connecticut
Petition No. 3065
abram Dyperman
(Complete and true signature of holder)
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