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No. 5479470
Name
BRINE, Lawrence John
residing at
594 Main St., Norwich, Connecticut
Age 41 years. Date of order of admission Dec. 16, 1943
Date certificate issued
December 16, 1943
by the
Superior
Court at Norwich, Connecticut
Petition No. 7706
Lanomic Yalan Brine
(Complete and true signature of holder)
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Document identity
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Document source metadata
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Document source extras
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Page context
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