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vol 10g 136 No. 4723477 Name ZAGORODNY, Wasil Dectxx1X Pg208 residing at 79 Kingsbury Street, Waterbury, Connecticut Age 46 years. Date of order of admission May 13, 1940 Date certificate issued May 13,1940 1940 by the Common Pleas Court at Waterbury, Connecticut Petition No. 10245 Wasilzagorodny (Complete and true signature of holder)

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