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No. 4544660
Name GUILLAUME, Jules Antoine
residing at West Redding, Connecticut
Age 65 years. Date of order of admission May 2, 1939
Date certificate issued
May 2, 1939
by the
Superior
Court at
Bridgeport, Connecticut
Petition No.
21362
Juler antone (Complete and signature Guillaume of holder)
true
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Document identity
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