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No. 7571226 Name MARTIN, Heinz residing at 328 Stanley St. New Britain, Conn. Date of birth 7/17/34 Date of order of admission 4/23/59 Date certificate issued April 23, 1959 by the Superior Court at New Britain Petition No. 6139 Alien Registration No. A8 253 808 Heing Mastin (Complete and true signature of holder)

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Document identity
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Page context
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