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No. 3595142
Name PASTORE 2 Pia
residing at 188 Hallett St., Bridgeport, Conn.
Age 35
years.
Date of order of admission Feb. 8, 1933
Date certificate issued
February 8, 1933
by the
Superior
Court at
Bridgeport, Conn.
Petition No.
17301
xPia Pastore
(Complete and true signature of holder)
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Document identity
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