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No. 8841693 P Name FOCHESATO, Gloria 157 Red Mountain Ave., Torrington, Conn. residing at Date of birth June 18, 193Bate of order of admission Nov. 12, 1969 Date certificate issued November 12, 1969 by the Superior Court at Litchfield, Conn. Petition No. 7775 Alien Registration No. A10 956 385 gloria (COMPLETE AND Facherate TRUE SIGNATURE OF HOLDER)

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