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VOCXLVII pg118
No. 4623519
Name WUJCIK, Wladyslaw
Drlxxxx Pg699
residing at36 Greenwood Street, Union City, Naugatuck, /Conn.
Age 58 years. Date of order of admission Sept. 12, 1939
Date certificate issued September 12, 1939
by the
Common Pleas
Court at Waterbury, Connecticut
Petition No. 9468
Madyslaw Complete and true Wujcik signature of holder)
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