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No. 5435794
Name
BOUSQUET , Frederic
residing at
6 Lesbia Street, Bridgeport, Conn.
Age 66
years. Date of order of admission January 15, 1942
Date certificate issued
January 15, 1942
by the
Superior
Court at
Bridgeport, Conn.
Petition No.
26316
Freezorie Bans guet
(Complete and true signature of holder)
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Context sent to Scholar
Document identity
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