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No. 4068767 Name LARSON ERIC RUDOLF 8 Academy St. Danielson, Killingly, Conn. residing at Age 33 years. Date of order of admission May 12, 1936 Date certificate issued May 12, 1936 by the Superior Court at Putnam, Conn. Petition No. 2022 Eric Rudalf Larson. (Complete and true signature of holder)

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Document identity
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