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No. 4106890 Name SZUSTECKI, Anna residing at 70 Wood Street, Waterbury, Conn. Age 37 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. 8148 anna Justichi (Complete true signature of holder)

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Document identity
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Page context
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