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No. 5078386 Name SHANNON, Christine residing at 37 Echo Lake Rd., Watertown, Conn. Age 33 years. Date of order of admission May 19th, 1942 Date certificate issued May 19th, 1942 by the Superior Court at Winsted, Connecticut. Petition No. 4779 Christna Shamon AR No. 5340537 (Complete and true signature of holder)

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