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No. 6063476 Name YAMIN, Wadad vol 66 Pg193 residing at 98 Sylvan Avenue, Wa terbury, Connecticut Age 43 years. Date of order of admission January 19, 1944 Date certificate issued January 19, 1944 by the Superior Court at Waterbury, Connecticut Petition No. 2443 wadad Jamin (Complete and true signature of holder)

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Document identity
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Page context
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