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No. 5202912 Name THEROUX, Josephine VolTV rg 29 residing at 449 East Main Street, Waterbury, Connec- ticut. Age 34 years. Date of order of admission May 21, 1941 Date certificate issued May 21, 1941 by the Common Pleas Court at Waterbury, Connecticut Petition No. 11519 Josephi (Complete and Theref signature of true holder)

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Document identity
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