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No. 6823584
Name DOCHOW, Gretchen
residing at 22 Borholm Ave. Stamford, Conn.
Date of birth 1/23/03
Date of order of admission 11/21/51
Date certificate issued
Nov. 21, 1951
by the
Superior
Court at
Bridgeport, Conn.
Petition No. 37296
Alien Registration No. 3370390
Gretchen Dachow
(Complete and true signature of holder)
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Document identity
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