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vol 70 170
No. 6264994
Name TEACH, Fred
Decl 35 P g615
residing at 242 Woodtick Road, Waterbury, Connecticut
Age 52
years. Date of order of admission January 17, 1945
Date certificate issued
January 17, 1945
by the
Superior Court at Waterbury, Connecticut
Petition No. 3420
thred Teach
(Complete and true signature of holder)
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