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No. 5090105 Name UGRIN 2 Frances residing at 36 Lillian Street, Stamford, Conn. Age 56 years. Date of order of admission Sept. 18, 1941 Date certificate issued September 18, 1941 by the Superior Court at Bridgeport, Conn. Petition No. 25395 Registration 2011999 Frances (Complete and Ugun signature of true holder)

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Document identity
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