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No. 6076628
Name
WALLACE, Louise Alice
residing at 167 Dix Avenue, New Britain, Conn.
Age 46 years. Date of order of admission April 4th, 1944
Date certificate issued
April 4th, 1944
by the
Superior
Court at New Britain, Conn.
3190
Petition No.
Louise alice Wallace
(Complete and true signature of holder)
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Context sent to Scholar
Document identity
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