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No. 5090292
Name
GREENBAUM, Ethel Lea
residing at
1862 North Avenue, Bridgeport, - Genn.
Age 53
years. Date of order of admission Sept. 17, 1941
Date certificate issued
September 17. 1941
by the
Superior
Court at Bridgeport, Conn.
Petition No. 25412
E thel Lea Greenbaum
Registration No. 4842055Complete signature
and true of holder)
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Document identity
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