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No. 8773020 Name SCHMIDT, Maria residing at 304 Deming Road, Berlin, Connecticut Date of birth 12/6/32 Date of order of admission 6/16/65 Date certificate issued June 16, 1965 by the Superior Court at New Britain Petition No. 7137 Alien Registration No.A8 257 165 Maria Phmiot (COMPLETE AND TRUE SIGNATURE OF HOLDER)

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Document identity
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