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No. 5009458 Name JACKSON, FRED CARL residing at 223 Winthrop Street, New Britain, Conn. Age 75 years. Date of order of admission Apr. 16th, 1941 Date certificate issued April 16th, 1941 by the Superior Court at New Britain Petition No. 435 Fred bash Jackson (Complete and true signature of holder)

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Document identity
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Page context
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