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No. 5089875 Name GIBBONS, Ann residing at 940 01₫ Academy Road, Fairfield, Conn. Age 38 years. Date of order of admission May 8, 1941 Date certificate issued May 8, 1941 by the Superior Court at Bridgeport, Conn. Petition No. 24918 1 ann libbons (Complete and true signature of holder)

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Document identity
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