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No. 3657014 Name vol XXXIX Pg 109 DANTINO, Filomena Decl XXVI Pg 415 residing at 382 South Leonard street, Wa terbury Connecticut Age 46 years. Date of order of admission Sep tember 17,1934 Date certificate issued Sep tember 17, 1934 by the Common Pleas Court at Waterbury, Connecticut Petition No. 7217 Filomena Dantino (Complete and true signature of holder)

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