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No. 7658243
Name DISCEPOLO, Rosa
VOL. 79
Pg.113
residing at 67 Wood Street, Waterbury, Connecticut
Date of birth Sept.22,1919 of order of admission Jan.14,1958
Date certificate issued January 14, 1958
by the
SUPERIOR
Court at WATERBURY, CONNECTICUT
Petition No. 6013
Alien Registration No.6 6 512 205
Rosa Miseepolo
(COMPLETE AND TRUE SIGNATURE OF HOLDER)
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