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No. 3408380 ralxxxvi rg 105 Name DeCICCO, MARY Decl XXII Pg 170 residing at 103 Catherine Avenue, Waterbury, Connec- ti cut Age 22 years. Date of order of admission May 15, 1931 Date certificate issued May 15, 1931 by the Common Pleas Court at Waterbury, Connecticut Petition No. 6362 Mary (Complete De and true Cieco signature of holder)

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532
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Document identity
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