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Person, Johan Alfred (Typewrite here the name-with surname first, given nameslast.) Age Johan alped (Signature Person here in full. Given names first.) years. Petition No. 2293 Issued by City (Title of Court , at New Britain, Conn. Court.) Date of order of admission June 26th , 1928 , Declaration of Intention No. 1967 Issued by Clerk of the City Court of New Britain on the 11th day of March, , 1922 Name, age, and place of residence of wife: Names, ages, and places of residence of minor children: Esther 11 yrs.; New Britain, Conn. Old No. 2745798 New Certificate No. (Use only when new Certificate is authorized.)