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rol LVIIL pg200
No. 5758718
Name DORAIS, Ovide Adrien
Decl XXXI Pg 409
residing at 46 French Street, Waterbury, Connecticut
Age 39 years. Date of order of admission November 10, 1942
Date certificate issued November 10, 1942
by the
Superior
Court at Waterbury, Connecticut
Petition No. 450
Ovide adrien Dorais
(Complete and true signature of holder)
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