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No. 5758871
Name
DiPietro, Theresa
VOLLTV pg33
residing at 102 Francis Street, Waterbury, Conn.
Age 51
years. Date of order of admission Jan. 6, 1943
Date certificate issued January 6, 1943
by the
Superior
Court at Waterbury, Connecticut
Petition No. 11273
Feresa Di Pietro
(Complete and true signature of holder)
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