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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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Document identity
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