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VOCXLIL P9229 No. 4106896 Name DUMONT, Joseph Dect XXVIL Pg28 residing at 51 East Liberty Street, Waterbury, Conn. Age 63 years. Date of order of admission Jan. 15, 1937 Date certificate issued January 15, 1937 by the Common Pleas Court at Waterbury, Conn. Petition No. 8156 Harefab (Complete true signature Durnown of holder)

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