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Sullivan, Mary Daniel (Typewrite here the name-with surname first, given nameslast.) ellary Daniel (Signature Sullivan here in full. Given names first.) Age, 58 years. Petition No. 4691 Common Pleas, at Issued by Cout (Title of of Court.) Date of order of admission ralubury Com. may 9041 , 192 Declaration of Intention No. Issued by Clerk of the on District the 20 Court day of of waterbury Sept , 1924 Name, age, and place of residence of wife: Names, ages, and places of suigle residence of minor children: X Old No. 2611051 New Certificate No. (Use only when new Certificate is authorized.)

Page data

Page
337
Source index
0
Type
photo
Media ID
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Size
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Document data

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405231914
Core
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Type
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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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}