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No. 5090051
Name
MITCHELL, Frank
residing at 643 Central Avenue, Bridgeport, Conn.
Age 52 years. Date of order of admission Sept. 17, 1941
Date certificate issued
September 17, 1941
by the
Superior
Court at Bridgeport, Conn.
Petition No. 24.881
Thank Mitchell
Registration No. 5581264Complete and true signature of holder)
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