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No. 7571607 Name STUOPELIS, Elena VOL. 79, Pg.216 residing at 20 Edward Street, Waterbury, Connecticut Date of birth Apr. 16, 1924 Date of order of admissionApr.15,1958 Date certificate issued Apri 15,-1958 by the SUPERIOR Court at WATERBURY, CONNECTICUT Petition No. 6116 Alien Registration No. A7 325 808 4 leno. Stuopelis, (Complete and true signature of holder)

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Document identity
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