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R. No. 7565953
Name FORSBERG, Virginia Shaw
residing at 236 Rockwell St., Winsted, Conn.
Date of birthJuly 19, 1904 Date of order of admission June 5, 1957
Date certificate issued June 5,1957
by the
Superior
Court at Winsted, Connecticut
Petition No.
7010
Alien Registration No.
Virginia 3 309940 (Complete and true Show signature of holder)
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