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No. 4605832
R
Name GRIBEN, Paul
residing at R. F. D. #2, Torrington, Conn.
Age 46
years. Date of order of admission Jan. 10, 1939
Date certificate issued January 10th 1939
by the
Superior
Court at
Winsted
Petition No. 3989
Paral Griben
(Complete and true signature of holder)
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