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No. 4718322
Name
MORSE Oscar
residing at
4 Jaques St., Moosup, Conn.,
Age 56 years. Date of order of admission Dec. 12, 1939
Date certificate issued
Dec. 12, 1939
by the
Superior
Court at
Windham, Conn.
Petition No.
2598
Oscar arouse
(Complete and true signature of holder)
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