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No. 8841713
R
Name SULLIVAN, Christiane Marie
residing at 70 Cutler Street, Watertown, Connecticut,
Date of birth July 30, 1949ate of order of admission Apr. 23, 1970
Date certificate issued
April 23, 1970,
by the
Superior
Court at
Litchfield, Conn.
Petition No.
7793
Alien Registration No. A10 912 833
Caristiana Sallivan
(COMPLETE AND TRUE SIGNATURE OF HOLDER)
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