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No. 6051291 Name GUNDELACH, Johanne Luise residing at 25 Grace St., Torrington, Connecticut Age 53 years. Date of order of admission December 21, 1943 Date certificate issued December 21, 1943 by the Superior Court at Winsted, Connecticut. Petition No. 5349 Johame Luess Gundelach (Complete and true signature of holder)

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