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No. 5090140
Name
BARTEK, Alexander Joseph
residing at
Brookside Court, South Norwalk, Conn.
Age 49
years. Date of order of admission
Sept. 18, 1941
Date certificate issued
October 27, 1941
by the
Superior
Court at
Bridgeport, Conn.
Petition No. 25045
Registration No. 1258942
(Complete and
true signature of holder)
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