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No. 4183924 Name MELANSON Camille Ambrose residing at Killingly, Conn. Age 56 years. Date of order of admission May 11, 1937 Date certificate issued May 11, 1937 by the Superior Court at Putnam, Conn. Petition No. 2061 Camild Cembsose (Complete and true signature of holder)

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Document identity
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Page context
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