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No. 5090623 Name SWAIN, Gertrude Amelia residing at 144 Hanover Street, Bridgeport, Conn. Age 58 years. Date of order of admission January 14, 1942 Date certificate issued January 14, 1942 by the Superior Court at Bridgeport, Conn. Petition No. 25978 amilia Swani Registration No.4145118 (Complete and true signature of holder)

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Document identity
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