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No. 4804517 Name GOERGESCU, Dumitru residing at 157 Park Ave., Torrington, Connecticut Age 67 years. Date of order of admission January 14, 1941 Date certificate issued January 14, 1941 by the Superior Court at Winsted, Connecticut Petition No. 4446 AR 34 86641 Dumitru (Complete and Georgescu true signature of holder)

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