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No. 5813261 Name SERAVALLI, ETTORE REGOLO residing at 71 Mill Street, New Britain, Conn. Age 56 years. Date of order of admission June 8th, 1943 Date certificate issued June 8th, 1943 by the Superior Court at New Britain Petition No. 1101 Ethere Suegolo Serowolli (Complete and true signature of holder)

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Document identity
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