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No. 5436040
Name
GELTSNER, Anna
residing at
370 Wood Avenue, Bridgeport, Conn.
Age 66 years. Date of order of admission March 11, 1942
Date certificate issued
March 11, 1942
by the
Superior
Court at
Bridgeport, Com.
Petition No. 26702
I Annava Geltane
(Complete and true signature of holder)
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Document identity
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