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No. 5009274 Name LOSEK, WALENTYNA residing at 140 Grove Street, New Britain, Conn. Age 45 years. Date of order of admission Apr. 16th, 1941 Date certificate issued April 16th, 1941 by the Superior Court at New Britain Petition No. 497 Sesk (Complete and true signature of holder)

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Document identity
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Page context
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