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No. 5794017 Name LUCZAK HELEN residing at 65 Lincoln St., Putnam, Conn. Age 52 years. Date of order of admission Mar 17, ,1943 Date certificate issued March 17, 1943 by the Superior Court at Windham, Conn, Petition No. 3469 Helen Suejak (Complete and true signature of holder)

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Page context
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