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No. 5436130 Name HUJDIC, Bertha residing at 651 Maple Street, Bridgeport, Ct. Age 42 years. Date of order of admission March 11, 1942 Date certificate issued March 11, 1942 by the Superior Court at March 11, 1942 Petition No. 26962 (Complete and true signature of holder) Hujolic

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