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No. 7571053 Name SCHMIDT, Karl residing at 689 Farmington Ave., Kensington, Conn. Date of birth 4/1/24 Date of order of admission 6/17/58 Date certificate issued June 17, 1958 by the Superior Court at New Britain Petition No. 5972 Alien Registration No. A8 hare 3292530 Schwitt (Complete and true signature of holder)

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Document identity
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