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No. 5609634 Name LEBLANC - EMILE residing at 92 North St. Danielson, Conn. Age 47 years. Date of order of admission Dec. 16, 1942 Date certificate issued December 16, 1942 by the Superior Court at Windham, Conn. Petition No. 3323 Emile Lebbace (Complete and true signature of holder)

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