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No. 4804453
Name FALLON, Anna
residing at 193 Winthrop St., Torrington, Conn.
Age 35
years. Date of order of admission January 14, 1941
Date certificate issued January 14, 1941
by the
Superior
Court at Winsted, Connecticut
Petition No. 4345
Conn.
A R No.
1518890
ama I allow
(Complete and true signature of holder)
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Context sent to Scholar
Document identity
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