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No. 5378307 Name Garosziewski, Bronislawa residing at 256 Riverside Ave., Torrington, Conn. Age 46 years. Date of order of admission December 15th, 1942 Date certificate issued December 15th, 1942 by the Superior Court at Winsted, Connecticut. Petition No. 5006 Bronislawn Garasziewki (Complete and true signature of holder)

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