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No. 6148196 Name POLEC, Piotr residing at 22 Greenmanville Ave., Mystic, Conn. Age 51 years. Date of order of admission May 9, 1944 Date certificate issued May 9, 1944 by the Superior Court at Norwich, Conn. Petition No. 7939 Pioto Potec (Complete and true signature of holder)

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Document identity
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Page context
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