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No. 6161577 Name HERTZMAN, John residing at Wellesville Ave., New Milford, Conn. Age 53 years. Date of order of admission December 17th, 1946 Date certificate issued December 17th, 1946 by the Superior Court at Winsted, Connecticut. Petition No. 6102 John (Complete Hertzman and true signature of holder)

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Document identity
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