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No. 5436104
Name
PRANEWITZ, Michael
residing at
80 Denver Avenue, Bridgeport, Conn.
Age
57
years. Date of order of admission March 11, 1942
Date certificate issued
March 11, 1942
by the
Superior
Court at
Bridgeport, Conn.
Petition No. 26865
(Complete and true signature of holder)
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Document identity
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