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No. 5089972 Name KEPCHAR, John residing at 233 Goddard Avenue, Bridgeport, Conn. Age 53 years. Date of order of admission Sept. 16, 1941 Date certificate issued September 16, 1941 by the Superior Court at Bridgeport, Conn Petition No. 24228 john Kapellow of (Complete and true signature holder) Registratic or No.2276972

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