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R. No. 8573084 Name COTE, LEOPOLD PIERRE residing at 35 Leigh Ave., Thomaston, Conn. Date of birth 6/13/39 Date of order of admission 4/27/67 Date certificate issued April 27, 1967 by the Superior Court at Litchfield, Conn. Petition No. 7685 Alien Registration No. A7 801 375 Leopold (COMPLETE AND TRUE SIGNATURE Pime OF HOLDER) Cote

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