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No. 5090248 Name SCHNEIDER, William residing at 283 Orchard Street, Bridgeport, Conn. Age 53 years. Date of order of admission Sept .17,1941 Date certificate issued September 17, 1941 by the Superior Court at Bridgeport, Conn. Petition No. 25037 William Schneider Registration No. 5237759 (Complete and true signature of holder)

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