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No. 6975977
Name TESTANI, Matilda
residing at 505 Garfield Ave.Bridgeport, Conn.
Date of birth 9/10/02
Date of order of
admission 3/11/52
Date certificate issued
March 11, 1952
by the
Superior
Court at
Bridgeport Conn.
Petition No. 37247
Alien Registration No. 1850109
matilda testami
(Complete and true signature of holder)
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Document identity
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