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No.
8285830
Name DOMINICI, Beatrice
Vol.81,Pg.158 81, 158
residing at 16 Willard Street, Waterbury, Connecticut
Date of birth Sept. 3, 1932 Date of order of admission an. 17, 1962
Date certificate issued January 17, 1962
by the
SUPERIOR
Court awaterbury, CONNECTICUT
Petition No. 6771
Alien Registration No. Alo 924 701
Bustries Dominici
(COMPLETE AND TRUE SIGNATURE OF HOLDER)
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