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No. 5378519 Name DAVIDSON, Sylvia Eilen residing at 66 Linden St., Torrington, Connecticut Age 46 years. Date of order of admission May 18th, 1943 Date certificate issued May 18th, 1943 by the Superior Court at Winsted, Connecticut. Petition No. 5210 Syhra Eden Dardson (Complete and true signature of holder)

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