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No. 5428334 Name LAMONDE MAURICE LUCIEN residing at 20 Alpha St. Putnam, Conn. Age 34 years. Date of order of admission June 17, 1942 Date certificate issued June 17, 1942 by the Superior Court at Putnam, Conn. Petition No. 2880 Marrice JurienJamanda (Complete and true signature of holder)

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Document identity
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Page context
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