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No. 7234442
Name COLLINS, Ronald Eric
residing at Merryall, New Milford, Conn.
Date of birth May 17 1927Date of order of admission Dec. 10, 1954
Date certificate issued December 10th, 1954
by the
Superior
Court at
Winsted, Connecticut
Petition No. 6727
Alien Registration No. A7 47 976 479
Ronald Eric boll
(Complete and true signature of holder)
7082
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Document identity
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