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No. 4709597 Name BOURGEOIS, Clarinda residing at 5 South 5th Ave., Taftville, Connecticut Age 34 years. Date of order of admission November 12,1940 Date certificate issued November 12, 1940 by the Superior Court at New London, Connecticut Petition No. 5987 Clarinda Bourgeois (Complete and true signature of holder)

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Document identity
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Document source metadata
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Page context
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