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No. 9321397 Name SIMONETTI, Carmine residing at 9 School House Road, Newington, Conn. Date of birth 8/5/41 Date of order of admission 4/20/72 Date certificate issued April 20, 1972 by the Superior Court at New Britain Petition No. 8218 Alien Registration No A14 316 688 Carmine Simonetti (COMPLETE AND TRUE SIGNATURE OF HOLDER)

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Document identity
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