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No. 5468712 Name D'OCCHIO, Pellegrino rol62 P9161 residing at 36 Birch Street, Waterbury, Connecticut Age 40 years. Date of order of admission January 20, 1944 Date certificate issued January 20, 1944 by the Superior Court at Waterbury, Connecticut Petition No. 1411 Pellegrine (Complete and true D'Occhio signature of holder)

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486
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