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No. 6264104
Name DOUCETTE, Catherine rol 68 pg222
residing at 138 Maple Street, Waterbury, Connecticut
Age 50 years. Date of order of admission April 11, 1944
Date certificate issued
April 11, 1944
by the
Superior
Court at Waterbury, Connecticut
Petition No. 2972
Catherine Doucette
(Complete and true signature of holder).
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Document identity
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