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No. 3880756 rolal rg 99 Name ZUCARELLI, PATSY Dectxvil rg 129 residing at 516 South Main Street, Naugatuck, Conn. Age 45 years. Date of order of admission May 15, 1935 Date certificate issued May 15th, 1935 by the Common Pleas Court at Waterbury, Conn. Petition 7439 Patsy No. (Complete and true signature of holder)

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Document identity
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