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No. 8573176 DADDONA, Antonietta Vol.83,Pg.54 Name 212 Platt Street, Waterbury, Conn. residing at Date of birth Apr. Apr.25,1946 25, Jan.13,1965 Date of order of admission Date certificate issued J anuary 13, 1965 by the SUPERIOR Court at WATERBURY, CONNECTICUT Petition No. 7268 Alien Registration No. A8 784 538 Antoniette Daddona (COMPLETE AND TRUE SIGNATURE OF HOLDER)

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