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No. 4008953
VOCXLI rg 59
Name DUMONT, Eugene Decl XXV pg332
residing at 45 Platt Place, Waterbury, Connecticut
Age 36
years. Date of order of admission January 15, 1936
Date certificate issued
January 15, 1936
by the
Common Pleas
Court at Waterbury, Connecticut
Petition No. 7686
kugene (Complete Pumont and true signature of holder)
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Document identity
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