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109
No.
Name PILON, Anatole DeclXXXX rg 379
residing at 170 Bridge Street, Waterbury, Conn.
Age 29
years. Date of order of admission January 21, 1941
Date certificate issued January 21, 1941
by the
Common Pleas
Court at Waterbury, Connecticut
Reg.No.4082432
Petition No. 11049
anatole Pilon
(Complete and true signature of holder)
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DTO data
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Document identity
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Page context
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