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No. 5607514 Name SKRZYNIARZ, ANTONINA residing at 64 North Street, New Britain, Conn. Age 53 years. Date of order of admission Nov. 17th, 1942 Date certificate issued November 17th, 1942 by the Superior Court at New Britain Petition No. 1636 an Torrum (Complete and true signature of holder)

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Document identity
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