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No. 6051520 Name GIRARD, Francis Antoine residing at 55 Hurlbut St., Winsted, Connecticut Age 37 years. Date of order of admission February 15, 1944 Date certificate issued February 15, 1944 by the Superior Court at Winsted, Connecticut. Petition No. 5446 Francois Untoine Gicard (Complete and true signature of holder)

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