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No. 6161379 Name GREEN, Alice Evelyn residing at 155 Eakins Road, Manhasset, L.I., N.Y. Age 39 May 15th, 1945 years. Date of order of admission Date certificate issued May 15th, 1945 by the Superior Winsted, Connecticut. Court at Petition No. 5909 alice (Complete Evelyn and true signature of holder) Green

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Document identity
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