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No. 5428314 Name NIGHTINGALE ZELMA LAPOINT residing at Putnam, Conn. R. F.D#1 Age 52 years. Date of order of admission Mar. 18, 1942 Date certificate issued Mar, 18, 1942 by the Superior Court at RXXMAX, Windham, Conn. Petition No. 3193 gelma Lapaint (Complete and Nightingab signature of holder) true

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Core
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