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No. 7093886
Name COLASANTI, Grace Ellen
residing at Terrace View, Norfolk, Connecticut
Date of birth Mar 14 1904 Date of order of admission Nov. 14, 1952
Date certificate issued
November 14th 1952
by the
Superior
Court at
Winsted, Connecticut
Petition No. 6489
Alien Registration No. Inace Ellen Colasante
5146128
(Complete and true signature of holder)
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