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No. 9441758 Name STEPONAVICIUS, Irene residing at 112 Judd Avenue, New Britain, Conn. Date of birth 7/5/46 Date of order of admission 1/11/73 Date certificate issued January 11, 1973 by the Superior Court at New Britain Petition No. 8296 Alien Registration No. A10 912 642 Irene Stepoxancouis (COMPLETE AND TRUE SIGNATURE OF HOLDER)

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