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No. 3183297 Name JEZEK, Henriette Marx residing at Staffordville, County of Tolland, Conn. Age 43 years. Date of order of admission September 3,1929 Date certificate issued September 3rd, 1929, by the Superior Court at Rockville, Conn. Petition No. 858 Henriette Jezek (Complete and true signature of holder)

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Document identity
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Page context
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