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No. 5378521 4 Name SEBBEN, Pasqua Costantina residing at Box 112, East Canaan, Connecticut Age 48 years. Date of order of admission May 18th, 1943 Date certificate issued May 18th, 1943 by the Superior Court at Winsted, Connecticut. Petition No. 4890 Karqua Costantina Sibben (Complete and true signature of holder)

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Document identity
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