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R. No. 7566034 Name VANCA, Helga residing at 287 South Main St. Torrington, Conn. Date of birth Apr 11, 1925 Date of order of admission Feb. 18, 1958 Date certificate issued February 18, 1958 by the Superior Court at Winsted, Connecticut Petition No. 7093 Alien Registration No. A8 125 146 Help a Vanca (Complete and true signature of holder)

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