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No. 3651295
Name
MADER, Paul
residing at
1177
Broad Street, Bridge port, Conn.
Age 27 years. Date of order of admission Sept. 19, 1933
Date certificate issued
September 19, 1933
by the
Superi or
Court at Bridgeport, Connecticut
Petition No. 17412
Paul moder
(Complete and true signature of holder)
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Document identity
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