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No. 6076201 Name LAZZERINI, Rosin a residing at 1485 Corbin Avenue, New Britain, Conn Age 67 years. Date of order of admission Nov. 30th,1943. Date certificate issued November 30th, 1943 by the Superior Court at New Britain Petition No. 1646 Posina Lazzerini (Complete and true signature of holder)

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Document identity
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