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No. 8821230 R Name KLEMENT, Elizabeth residing at 151 Winsted Road, Torrington, Conn. Date of birth 1/17/13 Date of order of admission 11/14/67 November 14, 1967 Date certificate issued by the Superior Litchfield, Conn. Court at Petition No. 7702 Alien Registration No. A10 977 524 Elizabeth Klement (COMPLETE AND TRUE SIGNATURE OF HOLDER)

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