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No. 8821370 Name STANCO, Josephine Vol. 83, Pg. 340 residing at 302 Lakewood Road, Waterbury, Conn. Date of birth Oct. 19, 194 Date of order of admissionNOV. 15, 1966 Date certificate issued Nov ember 15, 1966 by the SUPERIOR Court at WATERBURY, CONNECTI CUT Petition No. 7554 Alien Registration No12 018 199 Jesephine (COMPLETE AND TRUE SIGNATURE Stamo OF HOLDER)

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