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No. 4360473 Name PROVOST, Alphonse residing at 1 Highland St., Taftville, Conn. Age 51 years. Date of order of admission November 10, 1938 Date certificate issued November 10, 1938 by the Superior Court at New London, Com. Petition No. 5488 alphones provost (Complete and true signature of holder)

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Document identity
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Page context
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