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No. 6823617 Name CHRISTENSON, Esther Maria residing at 101 Merchant St. Bridgeport, Conn. Date of birth 11/5/00 Date of order of admission 11/21/51 Date certificate issued Nov. 21, 1951 by the Superior Court at Bridgeport, Conn. Petition No. 37350 Alien Registration No. 3597766 Erthu Maria Christenson (Complete and true signature of holder)

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