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No. 5794042 Name MORIN HOSEPH RAYMOND ADRIEN residing at 53 Center St., Willimantic, Cohn. Age 27 years. Date of order of admission June 16, 1943 Date certificate issued June 16, 1943 by the Superior Court at Putnam, Conn. Petition No. 3381 Joseph Required Complete and signature Adrie Hosin of holder) true

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