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No. 5202935
Name DUMAIS, Florence May
Decl XXX 19g 616
rollu-1961
residing at 328 Baldwin Street Waterbury, Connecticut
Age 44 years. Date of order of admission May 21, 1941
Date certificate issued
May 21, 1941
by the
Common Pleas
Court at Waterbury, Connecticut
Petition No. 11551
Horence may Dumais
(Complete and true signature of holder)
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Context sent to Scholar
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