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No. 5383457 Name WOICULEWICZ, KAZIMIER PITER residing at 348 Burritt Street, New Britain, Conn. Age 61 years. Date of order of admission Jan. 6th, 1942 Date certificate issued January 6th, 1942 by the Superior Court at New Britain Petition No. 1366 Karimier Fiter Wricalewing (Complete and true signature of holder)

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