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No. 4804462 Name SPAIN, Felicina residing at 76 French St., Torrington, Conn. Age 32 years. Date of order of admission January 14, 1941 Date certificate issued January 14, 1941 by the Superior Court at Winsted, Connecticut Petition No. 4362 AR No. 1316050 Felecina (Complete and Sjain signature of true holder)

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