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No. 4265885
Name
PERKA. Michel
residing at
1 Warner St., Groton, Connecticut
Age 54
years. Date of order of admission November 10, 1937
Date certificate issued
December 11, -1937
by the
Superior
Court at
Norwich, C innecticut
Petition No.
5112
Michel Perka
(Complete and true signature of holder)
t
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Document source extras
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