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rol 66 pg 125 No. 6264519 Name ZEMBRZUSKI, Bronislaw Dect xxx111 Pg 566 residing at 141 Spring Street, Naugatuck, Connecticut Age 49 years. Date of order of admission May 3, 1944 Date certificate issued May 3, 1944 by the Superior Court at Waterbury, Connecticut Petition No. 2375 / Bronerlow Combarusbi (Complete and true signature of holder)

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