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14-848 C.B.-9 Name Dailine nellie Supt Principal or Agent Balies Hospital Health Stations Address Hartford, Conn. 111 Pearl St. Date Subject Date Date Referred to- Subject Date Referred to- Rec'd. Number. Ans'd. Rec'd. Number. Ans'd. 9/12/19 4-15-2-1-0 wire 9/12/19 " 9/17/19 9/12/19 11 9/20/50 +-12.1 9/21/20 1/11/20 16/29/20 11

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