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No. 4718301 Name LAROCHE Valeria Ella residing at Dayville, Conn Age 45 years. Date of order of admission Dec. 12, 1939 Date certificate issued Dec. 12, 1939 by the Superior Court at Windham, Conn Petition No. 2559 Valeria Ell La Roche (Complete and true signature of holder)

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Document identity
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Page context
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