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No. 5078347 Name HAYOSTEK, Jacob residing at 65 Fowler St., Torrington, Conn. Age 57 years. Date of order of admission May 19th, 1942 Date certificate issued May 19th, 1942 by the Superior Court at Winsted, Connecticut. Petition No. 4302 AR No. 1536146 Jacob Hyostip (Complete and true signature of holder)

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