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No. 5090045
Name MITCHELL, Janet
residing at
159 Al sace Street, Bridgeport, Conn
Age 30 years. Date of order of admission Sept. 17, 1941
Date certificate issued
September 17, 1941
by the
Superior
Court at
Bridgeport, Conn.
Petition No. 24840
Registration No
fault Mitchell
2080094
(Complete and true signature of holder)
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