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No. 5009498
JR.
Name WARNAT, JOHN JOSEPH
residing at 379 East Street, New Britain, Conn.
Age 32 years. Date of order of admission Apr. 17th, 1941
Date certificate issued
April 17th, 1941
by the
Superior
Court at
New Britain
Petition No. 681
John (Complete Joseph and true signature WarnatJe. of holder)
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