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PLUSIK, (Typewrite here the name-with POVILOS surname first, γₒСХХХ pg57 Povil as. Plusik give Decl XX ameslast.) Hg205 (Signature here full. Given names first.) Age, 34 years. Petition No. 5647 Common Pleas Issued by Court (Title of of Date of order Court. of admission , at Com. Declaration of Intention No. may 9703 , , 19 ry Issued by Clerk of the on the 4 district Court of waterbury nov. day of , 1975 Name, age, and place of residence of wife: x Names, ages, and places of residence of minor children: X Old No. 2933645 New Certificate No. (Use only when new Certificate is authorized.)

Page data

Page
186
Source index
0
Type
photo
Media ID
1487feb35a9bd6d7
Size
unknown

Document data

ID
405231911
Core
doc
Type
document
DTO data
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Document identity
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Document source metadata
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Document source extras
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Page context
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    "ocrText": "PLUSIK, (Typewrite here the name-with POVILOS surname first, γₒСХХХ pg57\nPovil as. Plusik\ngive Decl XX ameslast.) Hg205\n(Signature here full. Given names first.)\nAge, 34 years. Petition No. 5647\nCommon Pleas\nIssued by Court (Title of of\nDate of order Court. of admission , at Com.\nDeclaration of Intention No.\nmay 9703\n, , 19 ry\nIssued by Clerk of the\non the 4\ndistrict Court of waterbury nov.\nday of\n, 1975\nName, age, and place of residence of wife:\nx\nNames, ages, and places of residence of minor children:\nX\nOld\nNo. 2933645\nNew Certificate No.\n(Use only when new Certificate is authorized.)"
}