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No. 4183941
Name
MIERZWA
Joseph Edward
residing at
Putnam, Conn.
Age 40 years. Date of order of admission May 11, 1937
Date certificate issued
May 11, 1937
by the
Superior
Court at
Putnam, Conn.
Petition No.
2123
Joseph (Complete and signature of holder)
Edward Michyme
true
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