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No. 3716032
Volxxxv111 Pg 117
Name
DREIFUSS, ERNA
residing at 149 Cooke Street, Waterbury, Connecticut
Age 28 years. Date of order of admission May 15, 1933
Date certificate issued May 15, 1933
by the
Common-Pleas
Court at Wa terbury, Connecticut
Petition No. 6924
Erna (Complete and true Dreifurs signature of holder)
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