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No. 4907771
Name HEINTZ, Magdalena Maria.
residing at
10 Park Ave. Meriden, Conn.
Age
40 years. Date of order of admission May 27, 1941
Date certificate issued
June 5, 1941
by the
Superior
Court at Meriden, Conn.
Petition No.
302
Mrs. magdalena maxier infacting
(Complete and true signature of holder)
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Document identity
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Page context
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