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No. 4848197 Name STATKUS, John residing at 41 South Leonard Street, Waterbury, Conn. Age 52 years. Date of order of admission January 21, 1941 Date certificate issued January 21, 1941 by the Common Pleas Court at Waterbury, Connecticut Reg. No.4362446 Petition No. 11050 John (Complete stations and true signature of holder)

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