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No. 4804531
Name JAVERY, Mildred Bell
residing at 8 Garden St., Torrington, Connecticut
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. 4491
AR No
1043583
mildred (Complete and true Bell signature of holder) Janery
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