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No. 6024337 Name ZLICZEWSKI, BOLESLAW residing at 331 Broad Street, New Britain, Conn. Age 68 years. Date of order of admission Oct. 5th, 1943 Date certificate issued October 5th, 1943 by the Superior Court at New Britain Petition No. 2725 Boleslow Zliezumki (Complete and true signature of holder)

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