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VolXLIX Pg 147
No. 4723223
Name TOMASKI, Bertha Wargo
residing at 24 Pleasant Avenue, Naugatuck, Connecticut
Age 39
years. Date of order of admission January 15, 1940
Date certificate issued January 15, 1940
by the
Common Pleas
Court at Waterbury, Connecticut
Petition No. 9997
Bertha (Complete and Wargo true signature of holder) Jomeshi
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Document identity
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Page context
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