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No. 5090169
Name WARREN, , Antoniette Rose
residing at 31 Cedar Crest Place, Norwalk, Conn.
Age 33
years. Date of order of admission Sept 18, 1941
Date certificate issued September 18, 1941
by the
Superior
Court at Bridgeport, Conn.
Petition No. 25273
antoinette Rose Warren
Registration No. 3040999
(Complete and true signature of holder)
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Document identity
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Page context
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