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rolxivi Pg168 No. 4723100 Name DISTEFANO, Sabatino Decl XXVIII pgs16 residing at Mt. Vernon Avenue, Oakv ille, Watertowh, Connecticut Age 59 years. Date of order of admission September 15,1939 Date certificate issued September 15, 1939 by the Common Pleas Court at Waterbury, Connecticut Petition No. 9211 Gabotino Sertefuno (Complete and true signature of holder)

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