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Kisiel, John Anton (Typewrite here the name-with surname first, given names last.) Kisiel John (Signature here in full. anton Given names first.) Age, 40 years. Petition No. 2291 Issued by Superior (Title of Court , at Winchester, Conn Court.) Date of order of admission February 7 , 1928 Declaration of Intention No. 23954 Issued by Clerk of the District Court of the United States on the 17 day of May , 1922 Name, age, and place of residence of wife: Katie. Age 32. Resides in Winsted, Conn. Names, ages, and places of residence of minor children: Edward born at Chicago, Ill. Helen born at Detroit, Mich. Bernice born at Chicago, Ill. Raymond born at Winsted, Ct. Andrew born at Winsted, Conn. All reside Winsted, Ct No. 2648650 Old New Certificate No. (Use only when new Certificate is authorized.)

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Document identity
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Page context
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    "ocrText": "Kisiel, John Anton\n(Typewrite here the name-with surname first, given names last.)\nKisiel John (Signature here in full. anton Given names first.)\nAge, 40 years. Petition No. 2291\nIssued by Superior\n(Title of\nCourt\n, at\nWinchester, Conn\nCourt.)\nDate of order of admission\nFebruary 7\n, 1928\nDeclaration of Intention No. 23954\nIssued by Clerk of the\nDistrict\nCourt of the United States\non the\n17\nday of\nMay\n, 1922\nName, age, and place of residence of wife: Katie. Age 32. Resides\nin Winsted, Conn.\nNames, ages, and places of residence of minor children: Edward born at\nChicago, Ill. Helen born at Detroit, Mich. Bernice\nborn at Chicago, Ill. Raymond born at Winsted, Ct.\nAndrew born at Winsted, Conn. All reside Winsted, Ct\nNo. 2648650\nOld\nNew Certificate No.\n(Use only when new Certificate is authorized.)"
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