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No. 4106993 Name DRZEWIECKI, Anna rolxlill Pg40 residing at 48 Main St., Terryville Plymouth, Conn. Age 33 years. Date of order of admission Jan. 15, 1937 Date certificate issued January 15, 1937 by the Common Pleas Court at Waterbury, Conn. Petition No. 8258 Ama (Complete Orgeniceki true signature of holder)

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