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No. 4462223
Name MORISSETTE, SYLVERE
residing at 28 Taylor's Court, Willimantic, Conn.
Age 31 years. Date of order of admission
May 10, 1938
Date certificate issued
May 10, 1938
by the
Superior
Court at Putnam, Conn.
Petition No. 2272
Sylone (Complete Mouse and signature of holder) The
true
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