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STANIS, HELEN MA (Typewrite here the name- with surname first, given nameslast.) Helen Mary Petition No. Signature Stanis here 5637 in full. Given names first. Common Age, 29 Pleas years. , at Issued by Court (Title of of Com. Court.) Date of order of admission , 19 g Declaration of Intention No. may 101 45 Issued by Clerk of the District Court of waterbury , 19 X N Name, on the age, and 25 place of residence day of of wife: sept. X Names, ages, and places of residence of minor children: X Old No. 2933635 New Certificate No. (Use only when new Certificate is authorized.)

Page data

Page
103
Source index
0
Type
photo
Media ID
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Size
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Document data

ID
405231914
Core
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Type
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DTO data
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Document identity
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Document source metadata
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Document source extras
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Page context
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    "ocrText": "STANIS, HELEN\nMA\n(Typewrite here the name- with surname first, given nameslast.)\nHelen Mary Petition No. Signature Stanis here 5637 in full. Given names first.\nCommon Age, 29 Pleas years. , at\nIssued by Court (Title of of\nCom.\nCourt.)\nDate of order of admission\n, 19 g\nDeclaration of Intention No.\nmay\n101 45\nIssued by Clerk of the\nDistrict Court of\nwaterbury\n, 19 X N\nName, on the age, and 25 place of residence day of of wife: sept.\nX\nNames, ages, and places of residence of minor children:\nX\nOld\nNo. 2933635\nNew Certificate No.\n(Use only when new Certificate is authorized.)"
}