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R. No. 7566083 Name THEOPHIL, Erich Emil residing at Westside Road, Torrington, Connecticut Date of birth Apr 22, 1925Date of order of admission June 4, 1958 Date certificate issued June 4, 1958 by the Superior Court at Winsted, Connecticut Petition No. 7117 Alien Registration No. A8 168 425 Erich Ennil Theophire (Complete and true signature of holder)

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