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No. 5090217 Name OLSON, Bennie Alexander residing at RFD #2 Pine Rock Park, Shelton, Conn. Age 48 years. Date of order of admission Sept. 17, 1941 Date certificate issued September 17, 1941 by the Superior Court at Bridgeport, Conn. Petition No. 25152 Bennie Alexweek Olson (Complete and true signature of holder) Registration No. 3289001

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Document identity
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