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No. 6279851
Name WIRKOWSKI, Nellie
residing at 23 Horace Street, New Britain, Conn.
Age 51 years. Date of order of admission June 6th, 1944
Date certificate issued
June 6th, 1944
by the
Superior
Court at
New Britain
Petition No. 1680
atellie wirkowski
(Complete and true signature of holder)
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