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No. 4469162 Name DiPALMA, Virginia VolXLV Pg 52 residing at 963 North Main Street, Waterbury, Con- necticut Age 44 years. Date of order of admission September 21, 1938 Date certificate issued September 21, 1938 by the Common Pleas Court at Waterbury, Connecticut Petition No. 8821 Virginia Di' Pahra (Complete and true signature of holder)

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364
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