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Amos, Leoncio
(Typewrite here the name-with surname first, given names last.)
Leoncio Amos
(Signature here in full. Given names first.)
Age,
28
years.
Petition No. 2991
Issued by Superi or Court
(Title of
New London County , at New London, Connecticut
Court.)
Date of order of admission September 27th
, 19 27
Declaration of Intention No. omitted under Act of Issued by Clerk of the
Court of
May 26th, 1926.
on the
day of
, 19
Name, age, and place of residence of wife :
Names, ages, and places of residence of minor children: none,
No. 2649471
Old
New
Certificate No.
(Use only when new Certificate is authorized.)
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- 486142186
- Core
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- Type
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Context sent to Scholar
Document identity
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