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No. 3466846
rolxxxvl pg 170
Decl XXIV Pg 138
Name
DOMINICI, ADOLFO
residing at 181 Union Street, Waterbury,Connecticut
Age 46
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. 6427
adollo Dominer
(Complete and true signature of holder)
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