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No. 6051248
Name FEDOR, Andrew
residing at 294 East Ehm St., Torrington, Conn.
Age 72 years. Date of order of admission December 21, 1943
Date certificate issued December 21, 1943
by the
Superior
Court at Winsted, Connecticut.
Petition No. 5302
callow Zechor
(Complete and true signature of holder)
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