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No. 5212530 Name JENSEN, WILLIAM GRAM residing at 21 Wilna Street, New Britain, Conn. Age 39 years. Date of order of admission Apr. 21st, 1941 Date certificate issued April 21st, 1941 by the Superior Court at New Britain Petition No. 930 William (Complete Gram and true signature Jensen of holder)

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Document identity
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Page context
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