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Form 390.
1143543
43
Age,
Name Giovanni Pasgiale
18
years
no
Declaration ofinication. No polition soldier first paper
issued by of Distried
Waterbury
onlhe
day of
AD19
Perition, You 7 No. 1726
4
th
dayof
Systember
09.1919
Name, age and plure of residence of wife:
single
Names ayes and places infresidence of minor
children none
cigionami Parriale
(Signature B holder.)
New Old artificate. Na
Certificate No. 1143543Received
Date sept 15
1919
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Context sent to Scholar
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