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No. 3645784
VolXXXVIII Po14
Name
WOODSIDE, BEECHER rd 389
residing at 217 Elm Street Naugatuck, Connectidut
Age 26
years. Date of order of admission January 16,1933
Date certificate issued
January 16, 1933
by the
Common Pleas
Court at Waterbury,_Connecticut
Petition No. 6821
Beecher Woodside
(Complete and true signature of holder)
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Context sent to Scholar
Document identity
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