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No. 4108549
Name
McDONALD, Catherine
residing at
1 Woodside Circle, Fairfield, Conn.
Age 34
years. Date of order of admission
May 4, 1937
Date certificate issued
May 4, 1937
by the
Superior
Court at
Bridgeport, onn.
Petition 20104
No.
Hatherine McDonald
(Complete and true signature of holder)
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