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No. 6823412 Name STEIN, Max residing at 347 Stillman St. Bridgeport, Conn. Date of birth 3/13/11 Date of order of admission 6/5/51 Date certificate issued June 5, 1951 by the Superior Court at Bridgeport, Com. Petition No. 37088 Alien Registration No. 6759653 tiax seem (Complete and true signature of holder)

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Document identity
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