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No. 3579063 rolxxxv11 Pg Name Di MARIA, NICOLA Dect XXVI P968 residing at 35 Norton Street , Waterbury,Connecticut Age 38 years. Date of order of admission January 15, 1932 Date certificate issued Janua ry 15, 1932 by the Common Pleas Court at Waterbury, Connecticut Petition No. 6548 Nicola Di Maria (Complete and true signature of holder)

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