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(Typewrite here the name-with surname first, given names last.) Stephen Signature here in full, Given names Homacek first.) Age, 32 years. Petition No. 637 Issued by Superior [Tit]e of Court , at Rockville, Tolland County, Ct. Court.) Date of order of admission September 4th, , 19 28 Declaration of Intention No. 928 Issued by Clerk of the Superior Court of Tolland County, Rockville, Ct. on the 7th day of March , 19 23 Name, age, and place of residence of wife: Elizabeth, Age 33 yrs, Staffordville, Conn. Names, ages, and places of residence of minor children: Elizabeth, 11 yrs Stephen, 8 yrs; John, 6 yrs; Mila, 4 yrs; Tina, 2 yrs, All residents of Staffordville, Conn. Old No. 2878415 New Certificate No. (Use only when new Certificate is authorized.)

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405231949
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Document identity
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Page context
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    "ocrText": "(Typewrite here the name-with surname first, given names last.)\nStephen Signature here in full, Given names Homacek first.)\nAge, 32\nyears. Petition No. 637\nIssued by Superior\n[Tit]e of\nCourt\n, at Rockville, Tolland County, Ct.\nCourt.)\nDate of order of admission September 4th,\n, 19 28\nDeclaration of Intention No. 928\nIssued by Clerk of the\nSuperior\nCourt of Tolland County, Rockville, Ct.\non the 7th\nday of March\n, 19 23\nName, age, and place of residence of wife: Elizabeth, Age 33 yrs,\nStaffordville, Conn.\nNames, ages, and places of residence of minor children: Elizabeth, 11 yrs\nStephen, 8 yrs; John, 6 yrs; Mila, 4 yrs; Tina, 2 yrs,\nAll residents of Staffordville, Conn.\nOld\nNo. 2878415\nNew Certificate No.\n(Use only when new Certificate is authorized.)"
}