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No. 6006117 Name MEOTTI AMLETO residing at 3 Providence St. Putnam, Cohn. Age 51 years. Date of order of admission Dec. 15, 1943 Date certificate issued December 15, 1943 by the Superior Court at Windham, Conn. Petition No. 2933 Cimleto Meatli (Complete and true signature of holder)

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