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No. 3651401
Name MITALY, George
residing at
9 Morton St., South Norwalk, Conn.
Age 40
years.
Date of order of admission Sept. . 20,1933
Date certificate issued
September 20, 1933
by the
Superior
Court at
South Norwalk, Conn.
Petition No.
17557
X George Witshy
(Complete and signature of holder)
true
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Document identity
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