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No. 5078421 Name HEVERLING, Simone residing at 162 Greenwood St., Watertown, Conn. Age 24 years. Date of order of admission May 19th, 1942 Date certificate issued May 19th, 1942 by the Superior Court at Winsted, Connecticut. 4848 Petition No. AR No. 3792882 Sincere (Complete and true signature I.Vevesling of holder)

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