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rol XLL Pg16 No. 4008912 Name ZIMNOCHA, Matthew Dicl XXIV P9105 residing at 4 John Street, Naugatuck, Connecticut Age 39 years. Date of order of admission January 15, 1936 Date certificate issued January 15, 1936 by the Common Pleas Court at Waterbury, Connecticut Petition No. 7643 Matthew (Complete and true Zimmehn signature of holder)

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Document identity
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