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No. 4009806 Name VISENTINI, Giovanni R residing at 13 Perkins St., Torrington, Conn. Age 35 years. Date of order of admission Septempere 30,19 Date certificate issued September 30, 1936 by the Superior Court at Winsted Petition No. 3547 Suvonni Visentine (Complete and true signature of holder)

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