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Skokan, Heleh (Typewrite here the name-with surname first, given nameslast.) Helen Skakan Signature here in full. Given names first.) Age, Court 31 years. Petition No. 2456 Issued by Superior (Title of , at Winchester, Conn. Date of order Court.) of admission Feb. 5 , 19 29 Declaration of Intention No. Omitted under Issued byXClerk of the act of Sept 1922 on the day of , 19- Name, age, and-place ofresidence-of wife: Names, ages, and places of residence of minor children: Old No. 2881089 New Certificate No. (Use only when new Certificate is authorized.)

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130
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405231878
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Type
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Document identity
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Document source metadata
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Page context
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