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No. 5089928 Name GLOWACKI, Stanley residing at 57 Sherman Street, Bridgeport, Conn. Age 46 years. Date of order of admission Sept. 16, 1941 Date certificate issued September 16, 1941 by the Superior Court at Bridgeport, Conn. Petition No. 23183 Staley Glowachi Registration No. 1001282Complete and true signature of holder)

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