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No. 3348813 Name TEBECIO, ANNA K.INA G. residing at 226 Brightwood Ave Torrington, Conn. Age 40 years. Date of order of admission Sept. 3, 1930 Date certificate issued Sept. 3rd, 1930 by the Superior Court at Winchester Petition No. 2816 I ama Tebecio (Complete and true signature of holder)

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