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No. 4848071 Name DIFELICE, Cesare Vol LII Pg246 residing at 65 Sumac Street, Wa terbury, Connecticut Age 41 years. Date of order of admission January 20, 1941 Date certificate issued January 20, 1941 by the Common Pleas Court at Waterbury, Connecticut Reg. No. 3024757 Petition No. 10884 before Di Julice (Complete and true signature of holder)

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