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No. 4804450 Name FAFIAN, Elicio residing at Box 253, Torrington, Conn. Age 38 years. Date of order of admission January 14, 1941 Date certificate issued January 14, 1941 by the Superior Court at Winsted, Connecticut Petition No. 4336 AR NO 5064441 Elicio (Complete Fafian true signature of holder)

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