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Vol.XVIII rg 145
No. 4722975
Name DeRITO, Silvio
Declxx IK rg 505
residing at 174 Bridge Street, Waterbury, Connecticut
Age 45
years. Date of order of admission Sept. 14, 1939
Date certificate issued September 14, 1939
by the
Common Pleas
Court at Waterbury, Connecticut
Petition No. 9745
sihio De Rito
(Complete and true signature of holder)
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