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R. No. 8573074
Name JAKIMENKO, TATJANA
residing at 50 Elmira Avenue, Torrington, Conn.
Date of birth Jan. 21, 1921 Date of order of admission Feb. 9, 1967
Date certificate issued February 9, 1967
by the
Superior
Litchfield, Conn.
Court at
Petition No. 7673
Alien Registration No. A10 941 577
Jatjana JaRimenRo
(COMPLETE AND TRUE SIGNATURE OF HOLDER)
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Document identity
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