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C.B.-9 14-848 Name Perkins miss Charlotte R.n. Principal or Agent The Babies' Hospital, Address Hartford, Conn Date Subject Referred to- Date Date Subject Referred to- Date Rec'd. Number. Ans'd. Rec'd. Number. Ans'd. 5/4/15 5542.3 3/5/15 5/4/15 14-19-2-1 5/5/15

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