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No. 4918558 Name ANDERSON, James residing at R. F.D. No 2, Waterford, Connecticut Age 56 years. Date of order of admission May 21, 1941 Date certificate issued May 21, 1941 by the Superior Court at I Norwich, Connecticut A, ien Reg. No .2454540 Petition No. 6394 James Complete and true signature of holder) anderson

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Document identity
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