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No. 4454402
Name KUPFER, Gustav Theodor
residing at 93 Sage Avenue, Bridgeport, Connecticut
Age 53 years. Date of order of admission May 4, 1938
Date certificate issued May 4, 1938
by the
Superior
Court
at Bridgeport, Connecticut
Petition No. 20984
Gustao Theodor Reyfer
(Complete and true signature of holder)
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Document identity
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