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No. 5436141 Name BOUCHARD, 2 John residing at 1358 Stratford Avenue, Bridgeport, Conn. Age 49 years. Date of order of admission March 11, 1942 Date certificate issued March 11, 1942 by the Superiorations or Court at Bridgeport, Conn. Petition No. 26991 John (Complete Bouchard and signature of holder) true

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