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No. 3595152 Name SLON, Sam residing at R. F. D. #2, Box 78, Shelton, Conn. Age 52 years. Date of order of admission Feb. 8, 1933 Date certificate issued February 8, 1933 by the Superior Court at Bridgeport, Conn. Petition No. 16994 Sam Slon (Complete and true signature of holder)

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Document identity
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