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R. No. 7566063
Name DiBERNARDINI, Anna Giulia
residing at 94 French St., Torrington, Connecticut
Date of birth June 27,1898 Date of order of admissionJune 4,1958
Date certificate issued
June 4, 1958
by the
Superior
Court at Winsted, Connecticut
Petition No. 7122
Alien Registration No. 4-711826
time pulio Dr Benadin
(Complete and true signature of holder)
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