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No. 4594070 Name NOVICK Waleria residing at 159 South St., Willimantic, Conn. Age 43 years. Date of order of admission May 9, 1939 Date certificate issued May 9, 1939 by the Superior Court at Putnam Petition No. 2472 4 Warasaia Morrah (Complete and true signature of holder)

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Document identity
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Page context
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