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588 No. 4275929 Name Margaret Chantler Kapteyn residing at W. Main Street, Cheshire, Connecticut Age 42 years. Date of order of admission Sept. 8, 1937 Date certificate issued Sept. 8, 1937 by the Superior Court at Winsted Petition No. 3794 Margaret Chantter Kaptyne (Complete and true signature of holder)

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