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28 5202981 Name TANSLEY, Ernest Clarence Dict XXVIII pg7269 residing at 4 Ayers Street, Waterbury, Conn. Age 49 years. Date of order of admission September 18,141 18, Date certificate issued September 18th, 1941, by the Superior Court at Waterbury, Connecticut Petition No. 11769 Ernest (Complete and Clarence true signature of holder) Tansley

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Document identity
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Page context
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