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No. 4544865 Name COLUCCI, John residing at 467 Soundview Avenue, Stratford, Conn. Age 54 years. Date of order of admission May 3,1939 Date certificate issued May 37.1939 by the Superior Court at Bridgeport, Connectic cut Petition No. 21863 & Dohn Columen (Complete and true signature of holder)

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Document identity
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