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No. 6006105
Name
METHOT BERNADETTE
residing at 169 Chapman St., Willimantic, Conn.
Age 37 years. Date of order of admission June 16, 1943
Date certificate issued
June 16, 1943
by the
Superior
Court at
Putnam, Conn.
Petition No. 3097
Bernadeth method
(Complete and true signature of holder)
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Document identity
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Document source metadata
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Page context
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