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No. 6161589 Name KOWALCZYK, John residing at 24 Benedict St., Terryville, Conn. Age 61 years. Date of order of admission March 20th, 1947 Date certificate issued March 20th, 1947 by the Superior Court at Winsted, Connecticut. Petition No. 5997 John (Complete Komalszyk and true signature of holder)

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