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No. 5378499 Name TETI, Gertrude residing at 152 Turner Ave., Torrington, Conn. Age 44 years. Date of order of admission May 18th, 1943 Date certificate issued May 18th, 1943 by the Superior Court at Winsted, Connecticut. Petition No. 4967 Gertrude Jeti (Complete and true signature of holder)

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