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No. 5435791 Name CHOINOSKI, May residing at 416 Gregory Street, Bridgeport, Conn. Age 43 years. Date of order of admission January 15, 1942 Date certificate issued January 15, 1942 by the Superior Court at Bridgeport, Conn. Petition No. 26311 MEDGE chainoski (Complete and true signature of holder)

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Document identity
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