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No. 4847732 VolLI Pg192 Name ZACCARIA, Giacomo Dectxxix ng358 residing at Davis Street, Oakville, Watertown, Connecti- cut Age 51 years. Date of order of admission September 16, 1940 Date certificate issued September 16, 1940 by the Common Pleas Court at Waterbury, Connecticut Petition No. 10536 giacome (Complete and Zauaria true signature of holder)

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