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rollll pg 33
No. 4847820
Name DONOVAN, Patrick Joeseph
residing at 1177 Baldwin Street, Waterbury, Conn.
Age 56 years. Date of order of admission September 17,1940
Date certificate issued September 17, 1940
by the
Common Pleas
Court at
Waterbury, Connecticut
Petition No. 10671
Retuck Joesept Donover
(Complete and true signature of holder)
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