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No. 7234472
Name CHARDENET, Leontine Marie
residing at 43 So. Hi ghland St., West Hartford, Conn.
Date of birth Jun 10 1903 Date of order of admission Mar. 11, 1955
Date certificate issued March 11th, 1955
by the
Superior
Court at Winsted, Connecticut
Petition No. 6754
Alien Registration No. 1,464 035 464 035
Leontine Marie Chardene
(Complete and true signature of holder)
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Document identity
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