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No. 5090201 Name MOCCIA, Michael Angelo residing at 637 Huntington Road, Bridgeport, Ct. Age 41 years. Date of order of admission Sept. 17, 1941 Date certificate issued September 17 2 1941 by the Superior Court at Bridgeport, Conn. Petition No. 25033 Michael angelo Mercia Registration No. 3099794 Complete and true signature of holder)

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