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No. 5378392 Name ZUMBROSKI, Joseph residing at 12 Burnham St., Terryville, Conn. Age 57 years. Date of order of admission February 16th, 1943 Date certificate issued February 16th, 1943 by the Superior Court at Winsted, Connecticut. Petition No. 5104 Joseph 3umboski (Complete and true signature of holder)

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