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No. 5428252
Name
LAFLEUR Yvonne Irene
residing at
18 L'Homme St. Danielson, Conn.
Age
30 years. Date of order of admission Dec. 17, 2 1941
Date certificate issued
December 17, 1941
by the
Superior
Court at
Windham, Conn.
Petition No. 3106
you man (Complete Lines and signature of Loflew holder)
true
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