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o No. 5450778 Name KIEWRA, Stefan residing at 42 Hicks St. Mwriden, VConn. Age 48 years. Date of order of admission Nov. 24, 1942 Date certificate issued Nov. 30, 1942 by the Superior Court at Meriden. Conn. Petition No. 516 Stepan Kiewra Complete and true signature of holder)

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