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No. 3185175 Name DAVIE, RUTH ELEANOR Pg 81 residing at 69 Geddes Terrace, Wa te rbury, Connecticut Age 49 years. Date of order of admission January 15, 1930 Date certificate issued January 15, 1930 by the Common Pleas Court at Waterbury, Connecticut Petition No. 5971 Ruch Eleanor Davie (Complete and true signature of holder)

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Document identity
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