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No. 4545042
Name BOBOSHKO, Theodose
residing at c/o Mr. R. Seabrook, New Canaan, Conn.
Age
52 years. Date of order of admission Feb. 7, 1939
Date certificate issued
Feb. 7, 1939
by the
Superior
Court at Bridgeport, Connecticut
Petition No.
theodose 21387 Boboshus
(Complete and true signature of holder)
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Document identity
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