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No. 5090517
Name
BEIRNE, Thomas Joseph
residing at
36 Hayes Street, Bridgeport, Conn.
Age 51
years. Date of order of admission January 13, 1942
Date certificate issued
January 13, 1942
by the
Superior
Court at
Bridgeport, Conn.
Petition No. 25682
Registrati on No. and true
3480708 (Complete signature of holder)
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