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No. 5428217 Name LEFRANCOIS Marie Analda residing at 18 Palmer St. Danielson, Conn Age 37 years. Date of order of admission Dec. 17, 1941 Date certificate issued December 17, 1941 by the Superior Court at Windham, Conn. Petition No. 3034 (Complete and true signature of Holder) Lefrancors

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