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No. 4907734
Name
LaROSA, Raffaele
residing at 1 Leonard St le Meriden, Conn.
Age 49 years. Date of order of admission Nov. 25, 1941.
Date certificate issued
Nov. 28, 1941.
by the
Superior
Court at Meriden. Conn.
Petition No. 374
pffack LaReva
(Complete and true signature of holder)
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Document identity
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Page context
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