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No. 8573212 Name DiLORETO , Domenico Ludovico Vol.83, Pg. 89 residing at 167 New Haven Avenue, Waterbury, Conn. Date of birth Jan.2,1939 2, Date of order of admission Apr.28,1965 Apr. 1965 Date certificate issued April 28, 1965 by the SUPERIOR Court at WATERBURY, CONNECTICUT Petition No. 7303 Alien Registration No. All 489 973 Somenico foreto (COMPLETE AND TRUE SIGNATURE OF HOLDER)

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