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No. 3594948 Name VARHOLAK, John residing atXX 283 Sheridan St., Bridgeport, Conn. Age 28 years. Date of order of admission Sept. 21, 1932 Date certificate issued September 21, 1932 by the Superior Court at Bridgeport, Conn. Petition No. 17090 John Varholak (Complete and true signature of holder)

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