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No. 5813557
Name
ZAWADZKI, HELEN
residing at 58 Miller Street, New Britain, Conn.
Age 48
years. Date of order of admission Oct. 5th, 1943
Date certificate issued
October 5th, 1943
by the
Superior
Court at
New Britain
Petition No.
2369
Helen (Complete Zawadzki and true signature of holder)
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