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No. 5090231 Name LEVINE, Erland Gunnar residing at 66 Princeton Street Bridgeport, Conn. Age 30 years. Date of order of admission Sept. 17, 1941 Date certificate issued September 17, 1941 by the Superior Court at Bridgeport, Conn. Petition No. 25084 Verland Jennas Levine Registration No. 2826322 signature (Complete and true of holder)

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