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No. 3595222 Name GUSTAVSON, Gustav Ivar residing at 7 7 Moody Avenue, Fairfield, Conn. Age 55 years. Date of order of admission May 2, 1933 Date certificate issued May 2, 1933 by the Superior Court at Bridgeport, Connecticut Petition No. 17308 X-Gustav Ivas Gustarson (Complete and true signature of holder)

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Document identity
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