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No. 5090149
Name
SMITH, Lewis
residing at
43 Fifth Street 2 East Norwalk, 2 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. 25133
Lewins - Smith
(Complete and true signature of holder)
Registration No. 4637783
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Document identity
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Page context
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