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No. 3394566 Name SZCZEPKOWSKI, WLADYSLAWA residing at 364 North Main Street, Naugatuck, Connec- ticut Age____ 50 years. Date of order of admission January 15,1931. Date certificate issued January 15 1931 by the Common Pleas Court at Waterbury, Connecticut Petition No. 6281 Wodeplaws (Complete and true Cherepboerka signature of holder)

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