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No. 4009742 R Name SHOLTIS, Susan Povetz residing at 17 Hawthorne Terrace, Torrington, Conn. Age 42 years. Date of order of admission Jan. 14, 1936 Date certificate issued Jan. 14, 1936 by the Superior Court at Winsted Petition No. 3494 Susan (Complete Youetz true signature sholtis. of holder)

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