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Vol XLVL rg 156
No. 4623273
Dict XXVIII rg134
Name DOVIDAITIS, Charles
residing at 99 Vail Street, Waterbury, Connecticut
Age 55
years. Date of order of admission
May 15, 1939
Date certificate issued
May 15, 1939
by the
Common Pleas
Court at Waterbury, Connecticut
Petition No.
9199
Charles Pavidantis
(Complete and true signature of holder)
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