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No. 5813118 Name WROBEL, PETER residing at 14 Beatty Street, New Britain, Conn. Age 54 years. Date of order of admission Apr. 6th, 1943 Date certificate issued April 6th, 1943 by the Superior Court at New Britain Petition No. 1740 Peter Wrobel (Complete and true signature of holder)

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Document identity
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