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R. No. 8572985 Name DERWITSCH, Franz residing at 104 Scoville St., Torrington, Connecticut Date of birth Jan. 13, 1930 Date of order of admission June 1, 1965 Date certificate issued June 1, 1965 by the Superior Court at Litchfield, Connecticut Petition No. 7599 Alien Registration No. A8 002 781 Frank Deswihs (COMPLETE AND TRUE SIGNATURE OF HOLDER)

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