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No. 3997694 Name LAPARLE STMONNE residing at 189 Aldrich Ave. Moosup, Plainfield, Conn Age 29 years. Date of order of admission May 12, 1936 Date certificate issued May 12, 1936 by the Superior Court at Putnam, Conn. Petition No. 2016 Simonne Labash (Complete and true signature of holder)

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