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No. 4544892
Name SMITH, Ida Gertrude
residing at 321 Beechmont Avenue, Bridgeport, Conn
Age 43 years. Date of order of admission May 3,1939
Date certificate issued
May 3. 1939
by the
Superior
Court
at Bridgeport, Connecticut
Petition No. 21879
x Ida G Smith
(Complete and true signature of holder)
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Document identity
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Document source extras
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