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No. 4848045 Name DAIGNEAULT, Delphis VOLLII Pg210 residing at Box 9 Milldale, West Cheshire, Connec- ticut Age 41 years. Date of order of admission January 20, 1941 Date certificate issued January 20, 1941 by the Common Pleas Court at Waterbury, Connecticut Reg No.3683098 Petition No. 10848 Delphis Daigneault (Complete and true signature of holder)

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