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No. 4281183 Name DI LORENZO, Maria Rose residing at 878 Madison Avenue, Bridgeport, Conn. Age 51 years. Date of order of admission February 1, 1938 Date certificate issued February 1, 1938 by the Superior Court at Bridgeport, Conn. Petition 20646 No. maria pase Di Josenz (Complete and true signature of holder)

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Document identity
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