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No. 6161361 5827 Name INSOLIA, Assunda residing at 71 Wheeler Street, Winsted, Conn Age 56 May 15th, 1945 years. Date of order of admission Date certificate issued May 15th, 1945 by the Superior Winsted, Connecticut. Court at 5827 Petition No. 5827 dessunder Insolia (Complete and true signature of holder)

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