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No. 4804565 Name ZANDEGIACOMO, Luigi residing at 935 Migeon Ave., Torrington, Conn. Age 47 years. Date of order of admission January 15, 1941 Date certificate issued January 15, 1941 by the Superior Court at Winsted, Connecticut Petition No. 4257 AR No 4269910 Linigi Bandrgiacoms (Complete and true signature of holder)

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