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No. 4265768 Name PRUSACZYK, Heromin residing at 87 Winthrop St., New London, Connecticut Age 41 years. Date of order of admission November 9, 1937 Date certificate issued December 11, 1937 by the Superior Court at Norwich, Connecticut Petition No. 4967 Heromin (Complete and true signature Prysaryk of holder)

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Document identity
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Page context
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