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No. 4545116 Name NEMETH, David residing at 409 Bostwick Avenue, Bridgeport, Conn. Age 64 years. Date of order of admission Feb. 8, 1939 Date certificate issued Feb. 8, 1939 by the Superior Court at Bridgeport, Connecticut Petition No. 21503 Wargeth Newelly (Complete and true signature of holder)

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