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No. 5099808 Name LEONARDSON Hilda Elisabeth residing at 53 Walnut - St., Putnam, Conn. Age 52 years. Date of order of admission Dec.17, 1941 Date certificate issued December 17, 1941 by the Superior Court at Windham, Conn. Petition No. 3010 Hilda Elisabeth Leonardson (Complete and true signature of holder)

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