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R No. 8841668 Name GAMELIN, Richard Joseph 06798 Hoop Pole Hill Road, Woodbury, Conn. residing at Date of birth June 7, 1945ate of order of admission Nov. 12, 1968 Date certificate issued November 12, 1968 by the Superior Court at Litchfield, Connecticut Petition No. 7761 Alien Registration No. A8 718 591 Cert mail no.1931 no 1931 Richard Joseph Gamelic (COMPLETE AND TRUE SIGNATURE OF HOLDER)

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