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No. 5090106 Name HALLENGREN Ellen residing at 36 Arch Street, 2 Greenwich, Conn. Age 57 years. Date of order of admission Sept 18, 1941 Date certificate issued September 18, 1941 by the Superior Court at Bridgeport, Conn. Petition No. 25398 Elleu Haceengreen Registration No. 4698302 (Complete and true signature of holder)

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