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No. 4804479 Name CAPITANIO, Maria residing at 45 Maplewood Ave., Torrington, Conn. Age 41 years. Date of order of admission January 14, 1941 Date certificate issued January 14, 1941 by the Superior Court at Winsted, Connecticut Petition No. 4399 AR No. 4508236 Maria (Complete Capitanio and signature of true holder)

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