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No. 4723269 Name STANCZYK, Ladisla residing at 45 Ward St., Naugatuck, Connecticut. Age 38 years. Date of order of admission January 16, 1940 Date certificate issued January 16, 1940, by the Common Pleas Court at Waterbury, Connecticut, Petition No. 10043 Ladisla (Complete and true Stancryk signature of holder)

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Document identity
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Page context
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