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No. 6006102 Name LEMIEUX ROSANNA residing at 83 Furnace St. DanielsonConn. Age 61 years. Date of order of admission June 16, 1943 Date certificate issued June 16, 1943 by the Superior Court at Putnam, Conn. Petition No. 3045 Bosamna. Semient (Complete and true signature of holder)

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