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No. 6524658 Name WHITEHEAD, Jessie residing at 288 West Ave Noroton Heights, Conn. Age 57 years. Date of order of admission March 14, 1946 Date certificate issued March 14, 1946 by the Superior Court at Bridgeport, Conn, Petition No. 34390 Alien Registration No. 1848023 Jessie whitehead (Complete and true signature of holder)

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Document identity
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