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Furm 3HII
1507211
11
Name albert Pelosi
Age 27 years
of intention. No 3538
issued by District
Courself waterbury
onthe
28 day of may ADD
Perition, You. 10 No 2317
Entersigned. the
15
day of
December 0991020
Name age and plare of visidence of wife:
anna 23 yrs. 16 West Farm sk
Waterbery, Ct.
Names ages, and places infresidence of minor
children none
albert Pelos
/Signature of holder.)
New Old artificate. Ni
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Document data
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Context sent to Scholar
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