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No. 4009755 R Name TURGEON, Frederick residing at 623 Prospect St., Torrington, Conn. Age 29 years. Date of order of admission Jan. 14, 1936 Date certificate issued Jan. 14, 1936 by the Superi or Court at Winsted Petition No. 3505 Terdricks (Complete and true signature of Turger holder)

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