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Frimm 3511
2
1987302
Name Giaconco Carrera
Age 41
years
Declaration of intention. No 153844
issuedly Supreme
Court of new york country.
onlth
Pettlon, 3361
16 day of april ,ID191 17
Ondersigned on the 16 day of
Naire age, and place, ofresidence of wife:
June
A91924
Names, ages and places, of minor
truna H "yrs.
Bianca ca 5yrs.
63 dunion St
niterbury Ct
Ginconno Carrera
(Signature of holder.)
New Old certificale. No
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