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No. 6161469 Name BRUTZ, Jadwiga residing at Prospect Hill, New Milford, Conn. Age 56 years. Date of order of admission March 21st, 1946 Date certificate issued March 21st, 1946 by the Superior Court at Winsted, Connecticut. Petition No. 6025 Joudwrjor Bruty Complete and true signature of holder)

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