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No. 4848298
Name DICHELE, Catherine rol LIII rg237
residing at 21 Walnut Street, Waterbury, Connecticut
Age 32 years. Date of order of admission January 22, 1941
Date certificate issued
January 22, 1941
by the
Common Pleas
Court at Waterbury, Connecticut
Petition No. 11177
Reg. No.
365257 Eatherine Dichele
(Complete and true signature of holder)
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Context sent to Scholar
Document identity
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