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No. 3651222 Name DOMBROSKI, John residing at 583 Berkshire Avenue, Bridgeport, Conn. Age 52 years. Date of order of admission May 3, 1933 Date certificate issued May 3, 1933 by the Superior Court at Bridgeport, Conn. Petition No. 17198 yoha (Complete Dombroski and of holder) true signature

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Document identity
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