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No. 3183502
Name
MAMEDOV Ley Beck
residing at
Thompson, Connecticut
Age 43
years. Date of order of admission Sept. 25, 1929.
Date certificate issued September 25, 1929
by the
Superior
Court at
Putnan, Connecticut.
Petition No. 1508
Lev Beck-mameolav
(Complete and true signature of holder)
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