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No. 3516384 VolxxXVII rg6 Name DORN, JOSEPH Decl XX Pg462 residing at 1615 Bal dw in Street, Waterbury, Connecti- cut. Age 28 years. Date of order of admission January 15, 1932 Date certificate issued January 15, 1932 by the Common Pleas Court at Waterbury, Connecticut Petition No. 6513 joseph Down of Complete and true signature holder)

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