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No. 4847669
rolxLIX ng225
Name ZDANIS, Frank
Decl XXX Rg 216
residing at 51 Drayer Avenue, Waterbury, Connec-
/ticut
Age 79
years. Date of order of admission May 15, 1940
Date certificate issued May 15, 1940
by the
Common Pleas
Court at Waterbury, Connecticut
Petition No. 10075
oranis Belanis
(Complete and true signature of holder)
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Context sent to Scholar
Document identity
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