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R. No. 8573051 Name CARBONNEAU, Felix residing at 145 Westbury Park Rd., Watertown, Conn. Date of birthJuly 16,1930bate of order of admission Nov. 15, 1966 Date certificate issued November 15, 1966 by the Superior Court at Litchfield, Connecticut Petition No. 7650 Alien Registration No. A 8523520 Felip barbomeau (COMPLETE AND TRUE SIGNATURE OF HOLDER)

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