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No. 5090466 Name GALLANT, Eugenie residing at 944 Hancock Avenue, Bridgeport, Conn. 58 Age years. Date of order of admission January 13, 1942 Date certificate issued January 13, 1942 by the Superior Court at Bridgeport, Conn. Petition No. 25550 Engine Gallant Registration No.3115604 (Complete and true signature of holder)

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