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rol 70 Pg173 No. 6265028 Decl 35 Pg 368 Name DLUGOKENCKI, Miecyzislaw residing at 71 Brennan Street, Naugatuck, Connecticut Age 57 years. Date of order of admission January 17,1945 Date certificate issued January 17, 1945 by the Superior Court at Waterbury, Connecticut Petition No. 3423 Miscyjslaw Plugchench (Complete and true signature of holder)

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