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No. 4454266
Name TIMPANELLI, Pasquale
residing at 233 Catherine Street, Bridgeport, Conn.
Age 47 years. Date of order of admission May 3, 1938
Date certificate issued
May 3, 1938
by the
Superior
Court at Bridgeport. of Connecticut
Petition No. 20836
I
Pangmale
(Complete and true signature of holder)
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Document identity
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