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No. 5378268 Name Selvestrovich, George residing at 16 Chestnut St., Terryville, Conn. Age 60 years. Date of order of admission December 15th, 1942 Date certificate issued December 15th, 1942 by the Superior Court at Winsted, Connecticut. Petition No. 4998 gerge (Complete Soloestrovich and true signature of holder)

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