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No. 4804506 Name CHUPKA, Andro residing at 44 Farnham Ave., Torrington, Conn. Age 44 years. Date of order of admission January 14, 1941 Date certificate issued January 14, 1941 by the Superior Court at Winsted, Connecticut Petition No. 4413 AR No 1264988 andrui > Chich koc (Complete true signature of holder)

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