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No. 4864800 Name URBAN, ANNA CECELIA residing at 18 Euston Street, New Britain, Conn. Age 38 years. Date of order of admission Apr. 16th, 1940 Date certificate issued April 16th, 1940 by the Superior Court at New Britain Petition No. 161 anna Cecelia Urban (Complete and true signature of holder)

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Document identity
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